Individual provider Active NPI

Andrea Marie Miller, APRN

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1053975029
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5378520102 Issued in KS
Practice address
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone
(913) 588-9600
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 5378520102 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Kansas City, KS 66160-8500

Mailing address

1223 Jefferson St Apt 4109
Kansas City, MO 64105-2405
Phone (636) 751-2220

Other identifiers 1

IdentifierTypeStateIssuer
0OtherNA

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
I20190716002353 KS Practitioner - Nurse Practitioner 6305171166 Reassigns benefits to 1 organization
I20190716002489 MO Practitioner - Nurse Practitioner 6305171166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378520102KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivxpress Inc CurrentSince Jun 5, 2019 Accepting new patients
Mid-America Cardiology Associates, Inc. Past Accepting new patients
Infusion Express of Kansas LLC PastSince Jun 5, 2019 Accepting new patients

Locations

13340 Metcalf Ave
Overland Park, KS 66213
Phone (913) 851-2739

13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733

22223 W 66th St
Shawnee, KS 66226
Phone (913) 224-0030

1201 NW Briarcliff Pkwy
Ste 125
Kansas City, MO 64116
Phone (816) 256-5346

1108 E Patterson St
Ste 10
Kirksville, MO 63501
Phone (660) 956-0487

3600 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 272-0174

Organizations & group practices 3

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1053975029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 JEFFERSON ST APT 4109",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641052405",
            "telephone_number": "636-751-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5378520102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.