Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JACQUELYN RENE FORSSBERG APRN
NPI 1043628233
Nurse Practitioner - Women's Health in Great Bend, KS

Q: What is Jacquelyn Forssberg's NPI number?

The NPI number for Jacquelyn Forssberg is 1043628233. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Q: What is Jacquelyn Forssberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since July 31, 2014PECOS Enrolled

88.73/100

CMS Quality Rating

1021 EISENHOWER AVE, GREAT BEND, KS 67530(620) 792-5437 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2026, Mar 26, 2021 (2 updates tracked since 2021).

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About Mrs. Jacquelyn Rene Forssberg Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELYN RENE FORSSBERG APRN (NPI 1043628233) is an individual women's health provider in Great Bend, Kansas, licensed in Kansas (53-76350-092) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Pratt Regional Medical Center, and maintains a secondary practice location in Pratt.

NPPES Registry Identity

NPI1043628233

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMRS. JACQUELYN RENE FORSSBERGCredential: APRN

Location Address1021 EISENHOWER AVEGreat Bend, KS 67530

Mailing Address200 Commodore StPratt, KS 67124-2903 · (620) 450-1186

Phone(620) 792-5437

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 31, 2014

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1043628233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in KS · 53-76350-092

1021 EISENHOWER AVE, Great Bend, KS 67530

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Secondary Practice Location 1

Location 1200 Commodore StPratt, KS 67124-2903 · Phone (620) 450-1186 · Fax (620) 450-1741

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacquelyn Rene Forssberg Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264721539

PECOS Enrollment IDI20160510002483

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

63 services37 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pratt Regional Medical Center

Acute Care Hospitals · Pratt, KS

5/5 CMS rating

OwnershipProprietary

CMS Certification Number170027

Location200 Commodore StPratt, KS 67124 · Pratt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.71

Promoting Interoperability

100

Improvement Activities

Cost

80.74

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers37 claims37 services$19.62 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers40 claims40 services$100.83 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER JOSEPH KOSTER MD

Pediatrics

1021 EISENHOWER AVE
GREAT BEND, KS 67530

Barton County (620) 792-5437

RUBI SPRAY APRN, FNP-BC

Nurse Practitioner (Family)

1021 EISENHOWER AVE
GREAT BEND, KS 67530

Barton County (620) 792-5437

MARLEY PALMER

Nurse Practitioner

1021 EISENHOWER AVE
GREAT BEND, KS 67530

Barton County (620) 792-5437

UKHS GREAT BEND, LLC

Clinic/Center (Rural Health)

1021 EISENHOWER AVE
GREAT BEND, KS 67530

Barton County (620) 792-2511

GREAT BEND CHILDRENS CLINIC PA

Clinic/Center (Rural Health)

1021 EISENHOWER AVE, GREAT BEND CHILDREN'S CLINIC
GREAT BEND, KS 67530

Barton County (620) 792-5437

DIANNA HOLGUIN

Nurse Practitioner (Family)

1021 EISENHOWER AVE
GREAT BEND, KS 67530

Barton County (620) 792-5437

MARTA J EDMONDS M.D.

Pediatrics

1021 EISENHOWER AVE, GREAT BEND CHILDREN'S CLINIC, P.A.
GREAT BEND, KS 67530

Barton County (620) 792-5437

SUSAN J BAUER ARNP

Nurse Practitioner (Pediatrics)

1021 EISENHOWER AVE, GREAT BEND CHILDREN'S CLINIC
GREAT BEND, KS 67530

Barton County (620) 792-5848

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Forssberg's NPI number?

The NPI number for Jacquelyn Forssberg is 1043628233. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Jacquelyn Forssberg located?

Jacquelyn Forssberg practices at 1021 Eisenhower Ave, Great Bend, KS 67530. The listed phone number is (620) 792-5437.

What is Jacquelyn Forssberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jacquelyn Forssberg enrolled in Medicare?

Yes. Jacquelyn Forssberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacquelyn Forssberg accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Jacquelyn Forssberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacquelyn Forssberg affiliated with any hospitals?

According to CMS data, Jacquelyn Forssberg is affiliated with Pratt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jacquelyn Forssberg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.