Individual provider Active NPI

Shannon Glynn

  • Family Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1063925022
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017040108 Issued in MO
Practice address
1914 Swift Ave
North Kansas City, MO 64116-3447
Phone
(816) 221-1603
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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 2017040108 MO Primary

Addresses

Primary practice location

1914 Swift Ave
North Kansas City, MO 64116-3447

Mailing address

9904 Mercier St
Kansas City, MO 64114-4257
Phone (816) 510-8022

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
I20171228000543 MO Practitioner - Nurse Practitioner 5799043576 Reassigns benefits to 2 organizations
I20211025001277 KS Practitioner - Nurse Practitioner 5799043576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

14721 W 151St St
Olathe, KS 66062-3108
Phone (913) 361-7090

1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-5511

1602 N 2ND St
Clinton, MO 64735-1192

603 E Gaines Dr
GVMH Medical East
Clinton, MO 64735-3205
Phone (660) 885-8171

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Jan 18, 2024 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Past Accepting new patients

Locations

14721 W 151st St
Olathe, KS 66062
Phone (913) 361-7090

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

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

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

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

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1063925022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 MERCIER ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144257",
            "telephone_number": "816-510-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 SWIFT AVE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163447",
            "telephone_number": "816-221-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017040108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.