Individual provider Active NPI

Denise Frances Flynn, AGNP-C

  • Gerontology Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1063956910
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2017000048 Issued in MO
Practice address
210 NE Tudor Rd
Lees Summit, MO 64086-5696
Phone
(888) 256-3814
Fax
(888) 256-9054
NPI assigned
Dec 12, 2016
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2017000048 MO Primary

Addresses

Primary practice location

210 NE Tudor Rd
Lees Summit, MO 64086-5696

Mailing address

1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015-3069
Phone (888) 256-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20170307000437 MO Practitioner - Nurse Practitioner 1951685189 Reassigns benefits to 5 organizations
I20200729002140 IL Practitioner - Nurse Practitioner 1951685189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Care Plus LLCGroup PAC ID 6709175912, 43 clinicians

Practice addresses (Care Compare)

122 E Market St
Johnson Cty Care
Warrensburg, MO 64093-1818
Phone (888) 256-3814

2 Annable CT
Cahokia, IL 62206-2204
Phone (888) 256-3814

Merit-based Incentive Payment System (MIPS)

Final score
77.88 of 100Reported as group
Quality
69
Improvement activities
40
Cost
49.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017000048MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Nov 1, 2025 Accepting new patients
St Louis Medical Professionals, LLC CurrentSince Jun 24, 2019 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Nov 3, 2025 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2025 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Nov 3, 2025 Accepting new patients
Wound Care Plus, LLC CurrentSince Feb 7, 2017 Accepting new patients
St Louis Medical Professionals LLC Past Accepting new patients

Locations

601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355

2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900

1901 N Roselle Rd
Schaumburg, IL 60195
Phone (331) 330-7228

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015
Phone (888) 256-3514

215 E Pratt St
Brookfield, MO 64628
Phone (660) 258-7402

222 E Dunklin St
Ste 102
Jefferson Cty, MO 65101

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601

210 NE Tudor Rd
Lees Summit, MO 64086
Phone (660) 359-7773

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626

10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389

8790 Watson Rd
Ste 100
Saint Louis, MO 63119
Phone (314) 543-2800

8790 Watson Rd
Ste 201
Saint Louis, MO 63119
Phone (314) 543-2800

1800 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-2300

122 E Market St
Warrensburg, MO 64093
Phone (660) 429-2813

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: denise.flynn.1@13162.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13162/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1063956910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW SOUTH OUTER RD",
            "address_2": "STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153069",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "888-256-3814",
            "fax_number": "888-256-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "DENISE",
        "middle_name": "FRANCES",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2017000048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.