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JENNIFER JEANNINE NISLY DNP
NPI 1891354585
Nurse Practitioner - Family in Wichita, KS

Active since June 06, 2019PECOS Enrolled
1919 N AMIDON AVE STE 100, WICHITA, KS 67203(316) 866-2000 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2020, Jan 6, 2020, Jun 6, 2019 (3 updates tracked since 2019).

About Jennifer Jeannine Nisly Dnp NPPES

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

JENNIFER JEANNINE NISLY DNP (NPI 1891354585) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-78657-051) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891354585
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER JEANNINE NISLYCredential: DNP
Location Address1919 N AMIDON AVE STE 100Wichita, KS 67203-2118
Mailing Address1919 N Amidon Ave Ste 100Wichita, KS 67203-2118 · (620) 866-2000
Phone(316) 866-2000
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateFebruary 11, 20203 updates tracked since enumeration
✔ NPI 1891354585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 53-78657-051
Also ListedRegistered NurseTaxonomy 163W00000X · License 13-118891-051 (KS)
1919 N AMIDON AVE STE 100, Wichita, KS 67203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Jeannine Nisly Dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Nisly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gracemed Health Clinic Inc
1.9 mi
Federally Qualified Health Center (FQHC)
1122 N TOPEKA ST
Wichita, KS 67214
  • Reassigned Medicare billing, Kansas enrollment
  • 100 clinicians in this Medicare group
NPI 1184691693 (316) 866-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67203 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.

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.

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier12 claims24 services$2.27 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$14.28 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 2

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

ANGELA MICHELLE THEOBALD
Nurse Practitioner (Family)
1919 N AMIDON AVE STE 100
WICHITA, KS 67203
Sedgwick County (316) 866-2000
GEORGE ROCCAFORTE ENP
Nurse Practitioner (Family)
1919 N AMIDON AVE STE 100
WICHITA, KS 67203
Sedgwick County (316) 866-2000

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 Jennifer Nisly's NPI number?

The NPI number for Jennifer Nisly is 1891354585. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Jennifer Nisly located?

Jennifer Nisly practices at 1919 N Amidon Ave Ste 100, Wichita, KS 67203. The listed phone number is (316) 866-2000.

What is Jennifer Nisly's specialty?

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

Is Jennifer Nisly enrolled in Medicare?

Yes. Jennifer Nisly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Nisly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Nisly reassigns Medicare benefits to Gracemed Health Clinic Inc (Wichita, KS). The 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 Jennifer Nisly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Nisly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Jennifer Nisly 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 Jennifer Nisly was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.