Jordan Willis

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

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)

Hospital & facility affiliations

• Newman Regional Health Hospital, Emporia, KS, CCN 171384
• Coffey County Hospital Hospital, Burlington, KS, CCN 171385

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

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

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.

• Lawrence Physicians LLC

  • Hospitalist Physician
  • Lawrence, KS
  • NPI 1841607090
  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Rural Health Clinic/Center
  • Emporia, KS
  • NPI 1114085594

  Orthopaedic Surgery

  Medicare reassignment NPD
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Medicare reassignment NPD
• Mississippi Sports Medicine & Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Jackson, MS
  • NPI 1568415560
  Medicare reassignment NPD
• Lawrence Physicians LLC

  • Surgery Physician
  • Lawrence, KS
  • NPI 1528603719
  NPD
• Lawrence Physicians LLC

  • Orthopaedic Surgery Physician
  • Lawrence, KS
  • NPI 1649781709
  NPD
• Newman Memorial County Hospital

  • Family Medicine Physician
  • Emporia, KS
  • NPI 1659810133

  Orthopaedic Surgery

  NPD
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffey County Hospital

  • Critical Access Hospital
  • Burlington, KS
  • NPI 1376548370
  Care Compare affiliation
• Newman Memorial County Hospital

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Care Compare affiliation
• Newman Memorial County Hospital

  • Urgent Care Clinic/Center
  • Emporia, KS
  • NPI 1922306729

  Hospital

  Care Compare affiliation

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": "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"
        },
        {
            "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"
        }
    ],
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004648890002",
            "state": "KS"
        }
    ],
    "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": []
}

• James Wicoff, R.PH.
• Williams Medical Group Practice LLC
• Jennifer C Williams, LCPC
• Josie Danielle Williams
• Amy Williamson, LMSW
• Rachel Wilson, APRN
• Joey Wood
• Jennifer Ann Woods, ATC
• Eileen D Wright, LPC
• Kendall Merritt Wright, M.D.

• Orthopaedic Surgery Physician in Emporia, KS
• Providers in Emporia, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.