Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Shrack

Individual provider Family Nurse Practitioner · NPI 1073482782

Jordan Shrack is a Nurse Practitioner in Lawrence, Kansas. Qualified in 2025, 1 year ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

2300 Iowa St
Lawrence, KS 66046-3938
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-84941-071 (KS)

Record details

NPI number1073482782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address2300 Iowa St, Lawrence, KS 66046-3938

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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