JESSIE M NIEDENS AGACNP-BC, FNP-BC
NPI 1356990360
Nurse Practitioner - Family in Dodge City, KS

Active since September 11, 2019PECOS Enrolled
79/100
CMS Quality Rating
2305 CENTRAL AVE, DODGE CITY, KS 67801(620) 801-3320(620) 225-8687 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2024, Mar 15, 2023, Sep 11, 2019 (3 updates tracked since 2019).

About Jessie M Niedens Agacnp-bc, Fnp-bc NPPES

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

JESSIE M NIEDENS AGACNP-BC, FNP-BC (NPI 1356990360) is an individual family provider in Dodge City, Kansas, licensed in Kansas (53-83034-091) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356990360
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSIE M NIEDENSCredential: AGACNP-BC, FNP-BC
Location Address2305 CENTRAL AVEDodge City, KS 67801-6203
Mailing Address1906 Hi StDodge City, KS 67801-2333 · (719) 371-2708
Fax(620) 225-8687
Sole ProprietorNo
Enumeration DateSeptember 11, 2019
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1356990360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KS · 53-83034-091
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0995013 (CO)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License R252784 (MD)
2305 CENTRAL AVE, Dodge City, KS 67801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessie M Niedens Agacnp-bc, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67801 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.

79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.29
Improvement Activities40
Cost29.05

Referred Medical Equipment & Supplies CMS DME claims 5

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

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
2 suppliers45 claims45 services$108.72 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$35.00 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims2,925 services$0.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier11 claims11 services$18.89 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 3

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

Nurse Practitioner
2305 CENTRAL AVE
DODGE CITY, KS 67801
Nurse Practitioner (Family)
2305 CENTRAL AVE
DODGE CITY, KS 67801
Physician Assistant
2305 CENTRAL AVE
DODGE CITY, KS 67801

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 Jessie Niedens's NPI number?

The NPI number for Jessie Niedens is 1356990360. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Jessie Niedens located?

Jessie Niedens practices at 2305 Central Ave, Dodge City, KS 67801. The listed phone number is (620) 801-3320.

What is Jessie Niedens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessie Niedens enrolled in Medicare?

Yes. Jessie Niedens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessie Niedens was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.