Individual provider Active NPI

Corinne Lee Nilsen, NP

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1144836313
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79726-042 Issued in KS
Practice address
4000 Cambridge St Ste G600
Kansas City, KS 66160-8501
Phone
(988) 588-7743
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020034776 MO
Family Nurse Practitioner 363LF0000X TMP-159643 KS
Family Nurse Practitioner 363LF0000X 53-79726-042 KS Primary

Addresses

Primary practice location

4000 Cambridge St Ste G600
Kansas City, KS 66160-8501

Mailing address

4000 Cambridge St Ste G600
Kansas City, KS 66160-8501
Phone (988) 588-7743

Other practice location 1

3939 Holmes St
Kansas City, MO 64110-1123
Phone (316) 288-5547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210218002114 KS Practitioner - Nurse Practitioner 2769897040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
University of Kansas Hospital AuthorityGroup PAC ID 9436054798, 243 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79726-042KSMDFamily Nurse Practitioner
TMP-159643KSMDFamily Nurse Practitioner
2020034776MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Cardiology Associates, Inc. CurrentSince Feb 21, 2021 Accepting new patients
University of Kansas Hospital Authority CurrentSince Feb 21, 2021 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
University of Kansas Hospital Authority CurrentSince Feb 21, 2021 Accepting new patients
Kansas University Physicians Inc CurrentSince Apr 1, 2025 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

820 Ravenhill Dr
Ste 160A
Atchison, KS 66002
Phone (913) 367-6227

4000 Cambridge St
Ste G600
Kansas City, KS 66160
Phone (913) 588-7743

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

10710 Nall Ave
Overland Park, KS 66211
Phone (913) 588-9700

10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1144836313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST STE G600",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "988-588-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST STE G600",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "988-588-7743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641101123",
            "country_code": "US",
            "telephone_number": "316-288-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "CORINNE",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020034776",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-159643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79726-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.