Anna Laurel Short, ARNP
Individual provider Active NPI Nurse Practitioner · Roeland Park, KS
NPI 1033428735 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1033428735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-75214-101 (KS)
- Practice address
- 5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538 - Phone
- (913) 432-2080
- Fax
- (913) 432-5183
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunflower Medical Group PA
Practice addresses (Care Compare)
5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515
Phone (913) 432-2080
Hospital & facility affiliations
- Adventhealth Shawnee Mission
- University of Kansas Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101201000399 | KS | Practitioner - Nurse Practitioner | 6103012257 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75214-101 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunflower Medical Group, PA | Current |
Accepting new patients | |
| Sunflower Medical Group PA | Current |
Accepting new patients | |
| Leawood Family Care, PA | Past | Accepting new patients | |
| Priority Care, LLC | Past | Accepting new patients |
Locations
2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700
5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 53-75214-101 | KS | |
| Nurse Practitioner | 363L00000X | 53-75214-101 | KS | Yes |
Addresses
Primary practice location
5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538
Mailing address
5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-2080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01050323 | Other | RAILROAD MEDICARE |
Other providers in Roeland Park, KS
- Scouter Medical, Inc.
- Edward Assad Shamieh
- Ena Katherine Shartzer
- Shawnee Mission Medical Center, Inc.
- Alisa Sheremeta
- Katie Leigh Smith
- Kelly Smith
- Timothy James Smith
- Thomas M Snodell
- Grace Spaniol
All providers in Roeland Park, KS · Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.