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JACKSON HOLMGREN DO
NPI 1730928326
Surgery in Wichita, KS

Active since May 22, 2024PECOS Enrolled
1010 N KANSAS ST, WICHITA, KS 67214(316) 293-2665 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Holmgren Do NPPES

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

JACKSON HOLMGREN DO (NPI 1730928326) is an individual surgery provider in Wichita, Kansas, licensed in Kansas (94-11771) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730928326
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJACKSON HOLMGRENCredential: DO
Location Address1010 N KANSAS STWichita, KS 67214-3124
Mailing Address1010 N Kansas StWichita, KS 67214-3124 · (316) 293-2665
Phone(316) 293-2665
Sole ProprietorNo
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1730928326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KS · 94-11771
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1010 N KANSAS ST, Wichita, KS 67214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Holmgren Do 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 67214 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
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. ISAAC CLAYTON TALBERT MD
Orthopaedic Surgery
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (913) 588-5000
JAVANTHI THEEGALA MD
Psychiatry & Neurology (Psychiatry)
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 293-2665
AUSTIN ARMSTRONG MD
Psychiatry & Neurology (Psychiatry)
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 293-2647
MACKENZIE MICHELLE ENMEIER DO
Obstetrics & Gynecology
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 293-2665
MADISON JO LYNN SIEPERDA DO
Surgery
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 293-2665
VALERIE AUDRA GRAU MD
Anesthesiology
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 268-5000
JUSTIN ALEXANDER MILLS MD
Pediatrics
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 962-3030
ASHLEY HOUSER D.O.
Family Medicine
1010 N KANSAS ST
WICHITA, KS 67214
Sedgwick County (316) 293-2665

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 Jackson Holmgren's NPI number?

The NPI number for Jackson Holmgren is 1730928326. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Jackson Holmgren located?

Jackson Holmgren practices at 1010 N Kansas St, Wichita, KS 67214. The listed phone number is (316) 293-2665.

What is Jackson Holmgren's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jackson Holmgren enrolled in Medicare?

Yes. Jackson Holmgren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Holmgren was last updated on May 22, 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.