Individual provider Active NPI

Jenifer L Stone, ARNP

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1972554376
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45620 Issued in KS
Practice address
2610 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone
(316) 858-2610
Fax
(316) 858-2793
NPI assigned
May 12, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 45620 KS Primary

Addresses

Primary practice location

2610 N Woodlawn Blvd
Wichita, KS 67220-2729

Mailing address

2610 N Woodlawn Blvd
Wichita, KS 67220-2729
Phone (316) 858-2610

Other identifiers 3

IdentifierTypeStateIssuer
200310040FMedicaidKS
200310040DMedicaidKS
200310040EMedicaidKS

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
I20050714000331 KS Practitioner - Nurse Practitioner 1456387075 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45620KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC CurrentSince Jun 15, 2015 Accepting new patients
Northwest Physicians LLC Current Accepting new patients
Carepoint Emergency Medicine Kansas LLC CurrentSince Dec 5, 2016 Accepting new patients
Cep America - Kansas LLC Current Accepting new patients
Cep America - Kansas LLC CurrentSince Jun 15, 2015 Accepting new patients
Four Chambers Emergency Physicians, LLC Past Accepting new patients
Galichia Emergency Physicians LLC Past Accepting new patients
Medical Specialties of Kansas, L.L.C. Past Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients
Emergency Services, PA Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Organizations & group practices 11

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1972554376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-858-2610",
            "fax_number": "316-858-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N WOODLAWN BLVD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202729",
            "telephone_number": "316-858-2610",
            "fax_number": "316-858-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "JENIFER",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310040F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310040D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310040E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.