Individual provider Active NPI

Jennifer A. Sebes, NP

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1952406431
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45722 Issued in KS
Practice address
834 N Socora St Ste 4
Wichita, KS 67212-3729
Phone
(316) 440-2802
Fax
(316) 440-2809
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1495395032 KS
Family Nurse Practitioner 363LF0000X 45722 KS
Nurse Practitioner 363L00000X 45722 KS Primary

Addresses

Primary practice location

834 N Socora St Ste 4
Wichita, KS 67212-3729

Mailing address

834 N Socora St Ste 4
Wichita, KS 67212-3729
Phone (316) 440-2802

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
I20090821000640 KS Practitioner - Nurse Practitioner 2163576323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Diabetes Research IncGroup PAC ID 0446479398, 5 clinicians

Practice addresses (Care Compare)

834 N Socora St
Suite 4
Wichita, KS 67212-3729
Phone (316) 440-2802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1495395032KSMDRegistered Nurse
45722KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Diabetes Research, Inc CurrentSince May 23, 2023 Accepting new patients
World Impact, Inc. Past Accepting new patients

Locations

834 N Socora St
Ste 4
Wichita, KS 67212
Phone (316) 440-2802

Interoperability endpoints

  • Direct secure messaging: greatplainsdiabetes.jennifersebes@128419.advancedmd-direct.com
  • Direct secure messaging: jennifer.sebes@khindirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1952406431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123729",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 4",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123729",
            "telephone_number": "316-440-2802",
            "fax_number": "316-440-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBES",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "1495395032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45722",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.