JEFFERSON MEDICAL CLINIC
NPI 1750354908
Physician Assistant in Winchester, KS

Active since February 08, 2006
408 DELAWARE ST, WINCHESTER, KS 66097(913) 774-4340(913) 774-3379 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jefferson Medical Clinic NPPES

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

JEFFERSON MEDICAL CLINIC (NPI 1750354908) is a healthcare organization registered as a physician assistant in Winchester, Kansas and active in the NPI registry since February 2006. The organization lists Lamont Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750354908
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameJEFFERSON COUNTY MEMORIAL HOSPITAL, INC
Location Address408 DELAWARE STWinchester, KS 66097-4003
Mailing Address408 Delaware StWinchester, KS 66097-4003 · (913) 774-4340 · Fax (913) 774-3379
Fax(913) 774-3379
Organization SubpartNo
Authorized OfficialLamont CookCeo · (913) 774-4340
Enumeration DateFebruary 8, 2006
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1750354908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
408 DELAWARE ST, Winchester, KS 66097

Other Names 1

Doing Business AsJefferson Medical Clinic

Other Identifiers 1

Medicaid100080370FKS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Jefferson Medical Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner7
Family Practice3

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1295187623
408 DELAWARE ST
Winchester, KS 66097
(913) 774-4340
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609520550
408 DELAWARE ST
Winchester, KS 66097
(844) 536-9449
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083345920
408 DELAWARE ST
Winchester, KS 66097
(844) 536-9449
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598298176
408 DELAWARE ST
Winchester, KS 66097
(844) 536-9449
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063208874
818 N 7TH ST
Leavenworth, KS 66048
(913) 651-8860
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1437861218
1100 N 4TH ST
Leavenworth, KS 66048
(888) 381-4858
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1689084477
4951 W 18TH ST
Lawrence, KS 66047
(785) 841-6540
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1851367809
800 W FRONTIER LN
Olathe, KS 66061
(913) 397-7800
✔ PECOS40 mi
Nurse Practitioner
NPI 1104508662
9001 STATE LINE RD STE 300
Kansas City, MO 64114
(816) 363-2600
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1730725961
1169 SOUTHWIND DR
Junction City, KS 66441
(785) 350-4671
✔ PECOS88 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jefferson County Memorial Hospital, Inc's NPI number?

The NPI number for Jefferson County Memorial Hospital, Inc is 1750354908. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Jefferson Medical Clinic.

Where is Jefferson County Memorial Hospital, Inc located?

Jefferson County Memorial Hospital, Inc is located at 408 Delaware St, Winchester, KS 66097. The listed phone number is (913) 774-4340.

What is Jefferson County Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jefferson County Memorial Hospital, Inc enrolled in Medicare?

Yes. Jefferson County Memorial Hospital, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Memorial Hospital, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Jefferson County Memorial Hospital, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (3). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jefferson County Memorial Hospital, Inc accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Jefferson County Memorial Hospital, Inc 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.

When was this NPI record last updated?

The NPPES record for Jefferson County Memorial Hospital, Inc was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.