Individual provider Active NPI

Susan Marie Rosenberry, APRN

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1013505429
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020042972 Issued in MO
Practice address
5340 College Blvd
Overland Park, KS 66211-1621
Phone
(816) 942-0200
Fax
(816) 942-0205
NPI assigned
Jan 3, 2021
Last updated
Jan 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020042972 MO Primary

Addresses

Primary practice location

5340 College Blvd
Overland Park, KS 66211-1621

Mailing address

5340 College Blvd
Overland Park, KS 66211-1621
Phone (816) 942-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210218002011 MO Practitioner - Nurse Practitioner 4880009166 Reassigns benefits to 1 organization
I20210223001471 KS Practitioner - Nurse Practitioner 4880009166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Research Neuroscience Institute, LLCGroup PAC ID 7113103433, 23 clinicians

Practice addresses (Care Compare)

2100 SE Blue Pkwy
Lees Summit Med Ctr
Lees Summit, MO 64063-1007
Phone (816) 282-5000

2316 E Meyer Blvd
Research Medical Center
Kansas City, MO 64132-1136
Phone (816) 276-4000

5340 College Blvd
Overland Park, KS 66211-1621
Phone (816) 942-0200

5721 W 119TH St
Menorah Medical Ctr
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Research Neuroscience Institute, LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

5340 College Blvd
Overland Park, KS 66211
Phone (816) 350-4215

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

  • Direct secure messaging: susan.rosenberry@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

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": "1609632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1013505429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111621",
            "telephone_number": "816-942-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111621",
            "telephone_number": "816-942-0200",
            "fax_number": "816-942-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERRY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-03",
        "last_updated": "2021-01-03",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020042972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.