Individual provider Active NPI

Jessica N Hubach, APRN

  • Family Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1922715374
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81547 Issued in KS
Practice address
4201B Anderson Ave # 2
Manhattan, KS 66503-7601
Phone
(785) 320-7774
NPI assigned
Nov 3, 2022
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 81547 KS Primary

Addresses

Primary practice location

4201B Anderson Ave # 2
Manhattan, KS 66503-7601

Mailing address

2200 SW 6TH Ave Ste 107
Topeka, KS 66606-1707
Phone (785) 354-8518

Other practice location 1

3405 NW Hunters Ridge Ter Ste 200
Topeka, KS 66618-2510
Phone (785) 596-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000254 KS Practitioner - Nurse Practitioner 7810354099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Practice addresses (Care Compare)

4201 Anderson Ave
B2
Manhattan, KS 66503-7603
Phone (785) 320-7774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81547KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Medical Clinic PA CurrentSince Jun 1, 2023 Accepting new patients
Kansas Medical Clinic, PA Past Accepting new patients

Locations

4201 Anderson Ave
Ste B2
Manhattan, KS 66503
Phone (785) 320-7774

2200 SW 6th Ave
Topeka, KS 66606
Phone (785) 295-0956

2200 SW 6th Ave
Ste 104
Topeka, KS 66606
Phone (785) 354-8518

2200 SW 6th Ave
Ste 107
Topeka, KS 66606
Phone (785) 354-9300

2921 SW Wanamaker Dr
Topeka, KS 66614
Phone (785) 272-6860

3405 NW Hunters Ridge Ter
Ste 200
Topeka, KS 66618
Phone (785) 286-2557

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1922715374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW 6TH AVE STE 107",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061707",
            "telephone_number": "785-354-8518",
            "fax_number": "785-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201B ANDERSON AVE # 2",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037601",
            "telephone_number": "785-320-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3405 NW Hunters Ridge Ter Ste 200",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182510",
            "country_code": "US",
            "telephone_number": "785-596-1250",
            "fax_number": "785-593-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBACH",
        "first_name": "JESSICA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.