Individual provider Active NPI

Pamela Marie Bevan, ARNP, RN

  • Women's Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1164635637
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2017028577 Issued in MO
Practice address
825 Euclid Ave
Kansas City, MO 64124-2323
Phone
(816) 474-4920
Fax
(816) 889-1836
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center Incorporated 237 clinicians

Practice addresses (Care Compare)

2211 Charlotte St
Kansas City, MO 64108-2733
Phone (816) 404-4862

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20180809005074 MO Practitioner - Nurse Practitioner 0749355600 Reassigns benefits to 2 organizations
I20221101001226 KS Practitioner - Nurse Practitioner 0749355600 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017028577MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Oct 21, 2024 Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Oct 21, 2024 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
County of Sedgwick Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2211 Charlotte St
Kansas City, MO 64108
Phone (816) 404-4966

2301 Holmes St
Kansas City, MO 64108

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

2211 Charlotte St
Ste 300
Kansas City, MO 64108
Phone (816) 404-4100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 44460 KS
Women's Health Nurse Practitioner 363LW0102X 2017028577 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

825 Euclid Ave
Kansas City, MO 64124-2323

Mailing address

825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920

Other practice location 1

21 N 12th St Ste 400
Kansas City, KS 66102-5172
Phone (816) 599-5111

Other practice location 2

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2024.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1164635637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242323",
            "telephone_number": "816-474-4920",
            "fax_number": "816-889-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242323",
            "telephone_number": "816-474-4920",
            "fax_number": "816-889-1836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 N 12th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661025172",
            "country_code": "US",
            "telephone_number": "816-599-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641302807",
            "country_code": "US",
            "telephone_number": "816-923-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "credential": "ARNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "KS",
            "license": "44460",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2017028577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.