Marian Louise Phelps, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-80660-051 Issued in KS

Practice address

6650 W 110TH St Ste 220
Overland Park, KS 66211-1501

Phone

(913) 549-3884

Fax

(913) 273-3343

NPI assigned

Nov 22, 2021

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liveactive Primary Care LLCGroup PAC ID 9537414321, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marian.phelps@942222112063492.direct.elationemr.com

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.

• Liveactive Primary Care, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1245686625

  MO

  Medicare reassignment Care Compare group NPD
• Midtown Family Medicine PC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1376784835
  Medicare reassignment NPD
• Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
  • NPI 1285529289
  NPD
• Liveactive Multispecialty Physician Group LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1558093575
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Kansas Hospital Authority

  dba University of Kansas Hospital / University of Kansas Cancer Center

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba The University of Kansas Hospital

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1114684313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 W 151ST ST STE 303",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232231",
            "telephone_number": "913-549-3884",
            "fax_number": "931-273-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W 110TH ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111501",
            "telephone_number": "913-549-3884",
            "fax_number": "913-273-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "MARIAN",
        "middle_name": "LOUISE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021050327",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80660-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl D. Pfuetze, M.D.
• Anh Pham
• Martin Jiang Phan, MD
• Pharmington RX Services LLC (Pharmington Drugs)
• Lindsey Phelps, DPT
• Lucia Del Carmen Phetsangharn
• Mary Ashton Phillips-Benesh, PH.D
• Alyssa Frances Phillips, DC
• Eric R Phillips, DC
• Jennifer Galeski Phillips, DPM

• Family Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.

Verify at the official NPI Registry.