Individual provider Active NPI

Ryan Elizabeth Jantsch, PA STUDENT

  • Physician Assistant
  • Emporia, KS
National Provider Identifier
1972201697
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03010 Issued in KS
Practice address
1301 W 12TH Ave Ste 110
Emporia, KS 66801-2587
Phone
(620) 343-7828
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-03010 KS Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1301 W 12TH Ave Ste 110
Emporia, KS 66801-2587

Mailing address

13019 Eby LN
Overland Park, KS 66213-4607
Phone (913) 634-3353

Other practice location 1

60 Presidential Plz Apt 710
Syracuse, NY 13202-2434
Phone (913) 634-3353

Other practice location 2

1201 W 12th Ave
Emporia, KS 66801-2504
Phone (620) 343-6800

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
I20241230000320 KS Practitioner - Physician Assistant 4284161415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newman Memorial County HospitalGroup PAC ID 5193638526, shared by 6 NPIs, 61 clinicians

Practice addresses (Care Compare)

1301 W 12TH Ave
Emporia, KS 66801-2590

1301 W 12TH Ave 301 and
205 NRH Medical Partners Primary Care
Emporia, KS 66801-2590
Phone (620) 343-2376

Hospital & facility affiliations

  • Newman Regional Health Hospital, Emporia, KS, CCN 171384

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-03010KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Current Accepting new patients
Newman Memorial County Hospital CurrentSince Nov 4, 2024 Accepting new patients
Newman Memorial County Hospital CurrentSince Nov 4, 2024 Accepting new patients
Newman Memorial County Hospital Past Accepting new patients

Locations

1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376

1301 W 12th Ave
Ste 110
Emporia, KS 66801
Phone (620) 343-7828

Organizations & group practices 4

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 2

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1972201697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13019 EBY LN",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134607",
            "telephone_number": "913-634-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 110",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012587",
            "telephone_number": "620-343-7828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Presidential Plz Apt 710",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132022434",
            "country_code": "US",
            "telephone_number": "913-634-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012504",
            "country_code": "US",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANTSCH",
        "first_name": "RYAN",
        "middle_name": "ELIZABETH",
        "credential": "PA STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03010",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.