Jennifer Ann Hubbard, RN, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

75794 Issued in KS

Practice address

524 N Main St
El Dorado, KS 67042-2024

Phone

(316) 321-6036

Fax

(316) 321-6336

NPI assigned

Apr 25, 2007

Last updated

Mar 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Mental Health Medicine LLCGroup PAC ID 0840532107, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Kansas Mental Health Medicine LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita, KS
  • NPI 1629535265
  Medicare reassignment Care Compare group NPD
• South Central Mental Health Counseling Center, Inc.

  • Mental Health Counselor
  • El Dorado, KS
  • NPI 1538155882
  Medicare reassignment NPD
• South Central Mental Health Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • El Dorado, KS
  • NPI 1891561858
  NPD

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1972722965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N KARREN CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672125968",
            "telephone_number": "316-734-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N MAIN ST",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422024",
            "telephone_number": "316-321-6036",
            "fax_number": "316-321-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Brookside Ct",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "KS",
            "postal_code": "670102433",
            "country_code": "US",
            "telephone_number": "316-425-0073",
            "fax_number": "316-260-7909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 E King St",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670028964",
            "country_code": "US",
            "telephone_number": "316-733-5047",
            "fax_number": "316-733-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "75794",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KS",
            "license": "13-90878-022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlen Joan Hornbeck, APRN-C
• Branda Nichole Horsch
• Karen Horyna, PT, NBC-HWC
• Hospice Preferred Choice, Inc (AseraCare Hospice)
• Hoyt Supply LLC
• Jennifer Ja Hughes, APRN FNP-C
• Jessica Michelle Humble
• Amanda Lee Hursh, O.D,
• Kevin Wayne Jacobs, CRNA
• Leslie M. Jensby, LMSW

• Psychiatric/Mental Health Nurse Practitioner in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.