Individual provider Active NPI

Deborah Ann Meyer, APRN

  • Adult Health Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1073813036
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
68205 Issued in KS
Practice address
11111 Nall Ave Ste 103
Leawood, KS 66211-1625
Phone
(913) 424-3019
Fax
(913) 490-1080
NPI assigned
Oct 25, 2010
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 68205 KS Primary

Addresses

Primary practice location

11111 Nall Ave Ste 103
Leawood, KS 66211-1625

Mailing address

PO Box 219209
Kansas City, MO 64121-9209
Phone (913) 226-7332

Other identifiers 1

IdentifierTypeStateIssuer
1073813037MedicaidMO

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
I20110103000967 KS Practitioner - Nurse Practitioner 6507054772 Reassigns benefits to 1 organization
I20110113000868 MO Practitioner - Nurse Practitioner 6507054772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Health Care Services PAGroup PAC ID 7012199326, 9 clinicians

Practice addresses (Care Compare)

8900 Parallel Pkwy
Kansas City, KS 66112-1637
Phone (913) 788-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68205KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Healthcare Services, LLC Past Accepting new patients
Mobile Wound Solutions, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15764/brand/1/csg/1/fhir/r4

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1073813036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219209",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219209",
            "telephone_number": "913-226-7332",
            "fax_number": "913-764-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 103",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111625",
            "telephone_number": "913-424-3019",
            "fax_number": "913-490-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "68205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073813037",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.