Active NPI
Jerilyn Freeman, AGNP-C
- Nurse Practitioner
- Liberty, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2015002153
- Practice address
- 2525 Glenn Hendren Dr
Liberty, MO 64068-9625 - Phone
- (816) 781-7200
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TEMPAPRN0102 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | 53-76667-062 | KS | |
| Gerontology Nurse Practitioner | 363LG0600X | 53-76667-062 | KS | |
| Nurse Practitioner | 363L00000X | 2015002153 | MO | Primary |
Addresses
Primary practice location
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Mailing address
PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 407-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Chicago, Pritzker School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200
Hospital & facility affiliations
- Liberty Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 69.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPAPRN0102 | GA | MD | Nurse Practitioner |
| 2015002153 | MO | MD | Nurse Practitioner |
| 53-76667-062 | KS | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Hospice of Kansas City | Current | Accepting new patients | |
| Kansas City Neurology Associates LLC | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Current | Accepting new patients | |
| Louay K. Sabih, LLC | Current | Accepting new patients | |
| New Liberty Hospital Coporation | Current | Accepting new patients | |
| Complete Coverage LLC | Past | Accepting new patients | |
| New Liberty Hospital Coporation | Past | Accepting new patients | |
| Medical Specialists PA | Past | Accepting new patients |
Locations
10550 Marty St
Ste 201
Overland Park, KS 66212
12100 W 109th St
Shawnee Mission, KS 66210
Phone (913) 469-4210
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
14310 E 42nd St S
Ste 600
Independence, MO 64055
Phone (816) 333-7308
621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
2000 SE Blue Pkwy
Ste 270A
Lees Summit, MO 64063
Phone (816) 524-1700
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Kearney, MO
- NPI 1669734661
-
- Community Based Hospice Care Agency
- Independence, MO
- NPI 1427093988
-
- Neurology Physician
- Lees Summit, MO
- NPI 1932273737
-
- Nephrology Physician
- Liberty, MO
- NPI 1053284190
-
- Internal Medicine Physician
- Liberty, MO
- NPI 1205188570
-
- Family Medicine Physician
- Lees Summit, MO
- NPI 1467725341
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1821518630
-
- Geriatric Medicine (Internal Medicine) Physician
- Overland Park, KS
- NPI 1518469311
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1548001464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1083003552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219672",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641219672",
"telephone_number": "816-407-4200",
"fax_number": "816-407-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 GLENN HENDREN DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689625",
"telephone_number": "816-781-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "JERILYN",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "TEMPAPRN0102",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "53-76667-062",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KS",
"license": "53-76667-062",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2015002153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.