DR. JESSICA TANNER (M.D.) – Diagnostic Radiology Physician, NPI 1154438968

DR. JESSICA TANNER (M.D.) is a healthcare provider. based in Wichita, Kansas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301078717 (MI). The NPI Number for DR. JESSICA TANNER (M.D.) is 1154438968

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA TANNER (M.D.)
NPI
1154438968
Phone
(316) 689-6173
Address
3600 E HARRY ST
Enumeration Date
25 August 2006
Last Update Date
16 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
7857382266
Graduation Year
2001 (25 years ago)
PAC ID
6608978655
Group Practice PAC ID
8921082041
Professional Enrollment ID
I20070801000108
Address ID
KS674201605BE400XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

298 DIAGNOSTIC RADIOLOGY in KS

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Provider Addresses for DR. JESSICA TANNER (M.D.)

  • Via Christi St. Joseph, 3600, East Harry Street, Mead Neighborhood, Wichita, Sedgwick County, Kansas, 67218, United States

    WICHITA, KS 672183713

    Phone: (316) 689-6173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070801000108IDiagnostic RadiologyKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view426407$0
71046X-ray of chest, 2 views371360$0
77080Dxa bone density measurement of hip, pelvis, spine250250$0
70450Ct scan head or brain without contrast221218$0
73721Mri scan of leg joint without contrast219202$0
View full utilization report →

Insurance plans in this area (ZIP 67218)

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Provider's Procedures

DR. JESSICA TANNER (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYKS71010X-ray of chest, 1 view, front1087977
DIAGNOSTIC RADIOLOGYKS71250CT scan chest5151
DIAGNOSTIC RADIOLOGYKS73110X-ray of wrist, minimum of 3 views2019
DIAGNOSTIC RADIOLOGYKS73562X-ray of knee, 3 views4643
DIAGNOSTIC RADIOLOGYKS73630X-ray of foot, minimum of 3 views5654
DIAGNOSTIC RADIOLOGYKS74177CT scan of abdomen and pelvis with contrast7675
DIAGNOSTIC RADIOLOGYKS78815Nuclear medicine study with CT imaging skull base to mid-thigh111108

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921082041View full group profile
NameSpecialtyState
Diagnostic RadiologyKS
Diagnostic RadiologyKS
Diagnostic RadiologyKS
-KS
-KS
Diagnostic RadiologyIN
Diagnostic RadiologyFL

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Frequently asked questions

How do I look up DR. JESSICA TANNER (M.D.) by NPI?
Use NPI 1154438968 when you need to reference DR. JESSICA TANNER (M.D.) in forms, claims, or directories.
Is DR. JESSICA TANNER (M.D.)'s NPI currently valid?
The extract we use shows DR. JESSICA TANNER (M.D.) as active.
What does DR. JESSICA TANNER (M.D.) treat or focus on?
Patients typically see DR. JESSICA TANNER (M.D.) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JESSICA TANNER (M.D.)?
The snapshot lists Wichita, Kansas for DR. JESSICA TANNER (M.D.); download NPPES for the complete set.
Is DR. JESSICA TANNER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154438968. Always confirm identity and privileges with the practice and licensing boards.

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