Pennie L Mesmer, ARNPC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2011022888 Issued in MO

Practice address

2401 Gillham Rd
Kansas City, MO 64108

Phone

(816) 234-3000

Fax

(816) 302-9939

NPI assigned

Jul 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Jayhawk Primary Care Inc

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1528025053

  KS

  Medicare reassignment NPD
• Jayhawk Primary Care Inc

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1982652525
  NPD
• John T Schroll MD PA

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
  • NPI 1033176474
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1013939982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-701-5200",
            "fax_number": "816-302-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108",
            "telephone_number": "816-234-3000",
            "fax_number": "816-302-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESMER",
        "first_name": "PENNIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ARNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-45398",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011022888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35722017",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200354480-A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Lyle Merritt
• Angela Maria Merry, LPN
• Jamie Lyn Mertz, PA-C
• Jim I Mertz, MD
• Elisabeth Merz, LPC, LCPC, MT-BC
• Brenda Gale Messer
• Jennifer Lynn Messer, DC
• Sha'Era Messick, LCSW
• Franklin Paul Messina, MPT
• Paige Messina, DOCTOR OF PHARMACY

• All providers in Kansas City, MO
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.