Individual provider Active NPI

Jordan Willis

  • Orthopaedic Surgery Physician
  • Emporia, KS
National Provider Identifier
1982197364
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
04-49597 Issued in KS
Practice address
1301 W 12TH Ave Ste 105
Emporia, KS 66801
Phone
(620) 340-6181
Fax
(620) 342-6182
NPI assigned
Jun 11, 2018
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 04-49597 KS Primary

Addresses

Primary practice location

1301 W 12TH Ave Ste 105
Emporia, KS 66801

Mailing address

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

Other practice location 1

1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 268-5988

Other practice location 2

6265 Rock Chalk Dr Ste 1500
Lawrence, KS 66049-5232
Phone (785) 843-9125

Other practice location 3

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.willis@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230622002529 MS Practitioner - Orthopedic Surgery 0547519084 Reassigns benefits to 1 organization
I20240723003566 KS Practitioner - Orthopedic Surgery 0547519084 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
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)

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

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

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-49597KSMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Memorial County Hospital Orthopaedic Surgery Current Accepting new patients
Newman Memorial County Hospital Current Accepting new patients
Lawrence Physicians LLC CurrentSince Aug 28, 2024 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery CurrentSince Jul 26, 2023 Accepting new patients
Lawrence Physicians LLC Orthopaedic Surgery CurrentSince Aug 28, 2024 Accepting new patients
Newman Memorial County Hospital Orthopaedic Surgery CurrentSince Aug 28, 2024 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Newman Memorial County Hospital CurrentSince Aug 28, 2024 Accepting new patients

Locations

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

1301 W 12th Ave
Ste 105
Emporia, KS 66801
Phone (620) 340-6181

1301 W 12th Ave
Ste 301
Emporia, KS 66801
Phone (620) 343-2376

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

6265 Rock Chalk Dr
Unit 1500
Lawrence, KS 66049

1325 E Fortification St
Jackson, MS 39202
Phone (601) 354-4488

Interoperability endpoints

  • Direct secure messaging: jordan.willis@direct.lmh.org
  • Direct secure messaging: jordan.willis@newmanrhdirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1982197364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 12TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668012504",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 12TH AVE STE 105",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-340-6181",
            "fax_number": "620-342-6182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Kansas St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143124",
            "country_code": "US",
            "telephone_number": "316-268-5988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6265 Rock Chalk Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660495232",
            "country_code": "US",
            "telephone_number": "785-843-9125",
            "fax_number": "785-505-5312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "66801",
            "country_code": "US",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KS",
            "license": "04-49597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.willis@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6265 Rock Chalk Dr Ste 1500",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660495232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.