Individual provider Active NPI

Jennifer Diane Pekarek, ARNP

  • Family Nurse Practitioner
  • Salina, KS
National Provider Identifier
1972577427
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5344785 Issued in KS
Practice address
400 S Santa Fe Ave
Salina, KS 67401
Phone
(785) 452-6113
Fax
(785) 452-6119
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5344785 KS
Family Nurse Practitioner 363LF0000X 165406 CO
Family Nurse Practitioner 363LF0000X 5344785 KS Primary

Addresses

Primary practice location

400 S Santa Fe Ave
Salina, KS 67401

Mailing address

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6113

Other identifiers 1

IdentifierTypeStateIssuer
100363870FMedicaidKS

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
I20070206000210 KS Practitioner - Nurse Practitioner 5597664433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salina Regional Health Center IncGroup PAC ID 0446168215, 160 clinicians

Practice addresses (Care Compare)

400 S Santa Fe Ave
Salina, KS 67401-4144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
79.94
Promoting interoperability
100
Improvement activities
40
Cost
71.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5344785KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center Inc CurrentSince Jun 1, 2013 Accepting new patients
Salina Regional Health Center, Inc. CurrentSince Jun 1, 2013 Accepting new patients
Salina Regional Health Center, Inc Current Accepting new patients
Comcare, P.a. Past Accepting new patients

Locations

617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

1001 S Ohio St
Salina, KS 67401
Phone (785) 823-6453

501 S Santa Fe Ave
Ste 100
Salina, KS 67401
Phone (785) 827-9631

617 E Elm St
Salina, KS 67401
Phone (785) 825-6224

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

730 Holly Ln
Salina, KS 67401
Phone (785) 452-4930

Interoperability endpoints

  • Direct secure messaging: jennifer.pekarek@comcarepa.gwaydirect.com
  • Direct secure messaging: jennifer.pekarek@srhcdirect.com

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 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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1972577427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-6113",
            "fax_number": "785-452-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-452-6113",
            "fax_number": "785-452-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKAREK",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5344785",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "165406",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5344785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363870F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.