Individual provider Active NPI

Lori Elizabeth Brackett, ARNP

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1053544544
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-74957-092 Issued in KS
Practice address
7935 W 151St St
Overland Park, KS 66223-2124
Phone
(913) 814-3788
Fax
(913) 814-3766
NPI assigned
Aug 31, 2009
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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 53-74957-092 KS Primary

Addresses

Primary practice location

7935 W 151St St
Overland Park, KS 66223-2124

Mailing address

7935 W 151St St
Overland Park, KS 66223-2124
Phone (913) 814-3788

Other identifiers 1

IdentifierTypeStateIssuer
200621170BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20091204000407 KS Practitioner - Nurse Practitioner 1254470271 Reassigns benefits to 1 organization
I20140520002341 MO Practitioner - Nurse Practitioner 1254470271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

1215 NE Coronado Dr
Carenow
Blue Springs, MO 64014-2928
Phone (816) 622-3342

1300 E N Ave
Belton, MO 64012-5108
Phone (816) 406-3443

15421 W 87TH St
Lenexa, KS 66219-1432
Phone (913) 320-0460

17700 E 39TH St S
Independence, MO 64055-6725
Phone (816) 393-0250

8951 State Line Rd
Kansas City, MO 64114-3231
Phone (913) 305-3167

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-74957-092KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Jan 1, 2017 Accepting new patients
Fort Scott Family Medicine Family Past Accepting new patients

Locations

7935 W 151st St
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

9490 E State Route 350
Raytown, MO 64133
Phone (816) 256-4089

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1053544544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232124",
            "telephone_number": "913-814-3788",
            "fax_number": "913-814-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232124",
            "telephone_number": "913-814-3788",
            "fax_number": "913-814-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKETT",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-31",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-74957-092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200621170B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.