Lincoln Andreasen
Individual provider Active NPI Family Medicine Physician · Overland Park, KS
NPI 1124400478 · NPPES record last updated Oct 31, 2023
Key facts
- NPI
- 1124400478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05-48035 (KS)
- Practice address
- 8500 W 110TH St Ste 200
Overland Park, KS 66210-1804 - Phone
- (913) 451-4776
- NPI assigned
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 25, 2023 through Oct 25, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-48035 | KS | MD | Family Medicine Physician |
| 2023032214 | MO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023032214 | MO | |
| Family Medicine Physician | 207Q00000X | 05-48035 | KS | Yes |
Addresses
Primary practice location
8500 W 110TH St Ste 200
Overland Park, KS 66210-1804
Mailing address
8500 W 110TH St Ste 200
Overland Park, KS 66210-1804
Phone (913) 451-4776
Other practice location 1
9800 NW Polo Dr Ste 110
Kansas City, MO 64153-1394
Phone (913) 451-4776
Other providers in Overland Park, KS
- Susan Joan Anderson
- Terry D Anderson
- Tia Anderson
- Wendy Anderson
- Kelly Andra
- Charles Perry Andrews IV
- Chloe Andrews
- Kameche Andrews
- Robert Duane Anesi
- Anesthesia & Pain Management
All providers in Overland Park, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.