Active NPI
Andrea R Bietau, AGNP
- Gerontology Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2023045998
- Practice address
- 4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939 - Phone
- (816) 931-1883
- NPI assigned
- Jan 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5381679 | KS | |
| Gerontology Nurse Practitioner | 363LG0600X | 2023045998 | MO | Primary |
Addresses
Primary practice location
4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 931-1883
Other practice location 1
6240 W 135th St Ste 150
Overland Park, KS 66223-4857
Phone (913) 632-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- 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 Kansas School of Med (KC/Wich/Sal), 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12330 Metcalf Ave
Suite 280
Overland Park, KS 66213-1302
Phone (816) 931-1883
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5381679 | KS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
6240 W 135th St
Ste 150
Overland Park, KS 66223
Phone (913) 632-3500
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000
4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
4330 Wornall Rd
Ste 2000
Kansas City, MO 64111
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- abietau650783@direct.saint-lukes.org
Organizations & group practices 4
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Nurse Practitioner
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1548563737
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225331002
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wright Memorial Hospital
- Critical Access Hospital
- Trenton, MO
- NPI 1841274057
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1134832389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64131",
"telephone_number": "816-931-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 WORNALL RD STE 2000",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115939",
"telephone_number": "816-931-1883"
}
],
"practiceLocations": [
{
"address_1": "6240 W 135th St Ste 150",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662234857",
"country_code": "US",
"telephone_number": "913-632-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIETAU",
"first_name": "ANDREA",
"middle_name": "R",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-03",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KS",
"license": "5381679",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2023045998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.