Individual provider Active NPI

Jennifer Williams, PA

  • Physician Assistant
  • Hays, KS
National Provider Identifier
1932365327
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01272 Issued in KS
Practice address
2509 Canterbury Dr
Hays, KS 67601-2233
Phone
(785) 623-5095
Fax
(785) 623-5080
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01272 KS Primary

Addresses

Primary practice location

2509 Canterbury Dr
Hays, KS 67601-2233

Mailing address

2509 Canterbury Dr
Hays, KS 67601-2233
Phone (785) 623-5095

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
I20080904000033 KS Practitioner - Physician Assistant 2860568581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700

2509 Canterbury Dr
Hays, KS 67601-2233
Phone (785) 623-5095

Hospital & facility affiliations

  • Hays Medical Center Hospital, Hays, KS, CCN 170013

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01272KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc. CurrentSince Aug 15, 2008 Accepting new patients
Hays Medical Center, Inc CurrentSince Aug 15, 2008 Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients

Locations

2509 Canterbury Dr
Hays, KS 67601
Phone (785) 623-2300

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Interoperability endpoints

  • Direct secure messaging: jennifer.williams@haysmeddirect.com

Organizations & group practices 5

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

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1932365327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012233",
            "telephone_number": "785-623-5095",
            "fax_number": "785-623-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012233",
            "telephone_number": "785-623-5095",
            "fax_number": "785-623-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.