Individual provider Active NPI

Jenelle Pearson, NP

  • Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1013499235
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
000000000 Issued in KS
Practice address
340 Southwest Blvd
Kansas City, KS 66103-2150
Phone
(913) 722-3100
Fax
(913) 722-2542
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 000000000 KS Primary

Addresses

Primary practice location

340 Southwest Blvd
Kansas City, KS 66103-2150

Mailing address

4600 College Blvd
Ste 103
Overland Park, KS 66211-1606
Phone (913) 215-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213001174 KS Practitioner - Nurse Practitioner 7719225978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services KS LLCGroup PAC ID 6800261819, 65 clinicians

Practice addresses (Care Compare)

6101 W 119TH St
Brookdale Place Overland Park
Overland Park, KS 66209-2728
Phone (913) 345-9339

9100 Park St
Suite 280
Lenexa, KS 66215-3353
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000000000KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services KS LLC CurrentSince Mar 7, 2023 Accepting new patients
Epc Mo Aco LLC PastSince May 21, 2021 Accepting new patients
Research Neurology Associates LLC PastSince Jun 2, 2019 Accepting new patients

Locations

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

9100 Park St
Ste 100
Lenexa, KS 66215
Phone (913) 712-9680

9100 Park St
Ste 280
Lenexa, KS 66215

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1013499235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 COLLEGE BLVD",
            "address_2": "STE 103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111606",
            "telephone_number": "913-215-5008",
            "fax_number": "913-297-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SOUTHWEST BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032150",
            "telephone_number": "913-722-3100",
            "fax_number": "913-722-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JENELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.