Jennifer Denise Aguilar, FNP
Individual provider Active NPI Family Nurse Practitioner · Kansas City, MO
NPI 1124508692 · NPPES record last updated Jan 15, 2019
Key facts
- NPI
- 1124508692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2018019813 (MO)
- Practice address
- 8017 NE San Rafael Dr
Kansas City, MO 64119-4230 - Phone
- (816) 255-6055
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000
Hospital & facility affiliations
- Centerpoint Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190115002261 | MO | Practitioner - Nurse Practitioner | 1355687195 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018019813 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Jennifer Aguilar FNP-C, LLC | Current |
Accepting new patients |
Locations
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018019813 | MO | Yes |
Addresses
Primary practice location
8017 NE San Rafael Dr
Kansas City, MO 64119-4230
Mailing address
4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Phone (972) 715-3800
Other providers in Kansas City, MO
- Daniel Agne
- Aditi Center Agrawal
- Chigozie Agu
- Pablo Aguayo
- Rebecca Elizabeth Aguayo
- Mary Elizabeth Aguirre
- Trey Aguirre
- Reynaldo Enguito Agustin
- Thelma Ventura Agustin
- Roomana Ahad
All providers in Kansas City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.