| Jennifer Jeannine Nisly, DNP | |
|
1919 N Amidon Ave Ste 100, Wichita, KS 67203-2118 | |
| (316) 866-2000 | |
| Not Available |
| Full Name | Jennifer Jeannine Nisly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1919 N Amidon Ave Ste 100, Wichita, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891354585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 13-118891-051 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-78657-051 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wesley Medical Center | Wichita, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gracemed Health Clinic Inc | 9830098185 | 31 |
| Entity Name | Gracemed Health Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184691693 PECOS PAC ID: 9830098185 Enrollment ID: O20040106000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Jeannine Nisly, DNP 1919 N Amidon Ave Ste 100, Wichita, KS 67203-2118 Ph: (620) 866-2000 | Jennifer Jeannine Nisly, DNP 1919 N Amidon Ave Ste 100, Wichita, KS 67203-2118 Ph: (316) 866-2000 |
Mavis A Schultz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3100 N Hillside St, Wichita, KS 67219 Phone: 316-682-3100 Fax: 316-618-8537 | |
Jacob Loveless, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 818 N Emporia St Ste 200, Wichita, KS 67214 Phone: 316-263-0296 | |
Amanda Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3715 N Oliver St, Wichita, KS 67220 Phone: 316-942-4519 Fax: 316-942-4655 | |
Mr. Norman Keith Trevolt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 848 N. St Francis, Ste 3901, Wichita, KS 67214 Phone: 316-268-8500 Fax: 316-291-7993 | |
Kathryn M Filby, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 N Hillside, Wichita, KS 67214 Phone: 316-962-8580 Fax: 316-962-8581 | |
Ms. Shirley Rae Parish, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 E Sunnybrook Ln, Suite C, Wichita, KS 67210 Phone: 316-651-0062 | |
Dawn M Schake, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9350 E 35th St N Ste 101, Wichita, KS 67226 Phone: 316-265-1308 Fax: 316-265-4480 |