Jaime Ann Phillips, R.N., M.S.N., F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Lawrence, KS
NPI 1184682452 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1184682452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 146556 (MO)
- Practice address
- 3421 West 6TH
Lawrence, KS 66049 - Phone
- (785) 330-7313
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Overland Park, KS 66213-1324
1307 E N Ave
Belton, MO 64012-5109
Phone (816) 251-5765
301 NE Rice Rd
Lees Summit, MO 64086-2979
Phone (816) 251-5760
310 SW Ward Rd
Lees Summit, MO 64081-2445
Phone (816) 251-5770
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630
5844 NW Barry Rd
Kansas City, MO 64154-1483
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
6655 Martway St
Mission, KS 66202-3290
Phone (913) 323-8875
711 Marshall St
Leavenworth, KS 66048-3235
Phone (913) 684-1100
9107 NW 45 Hwy
Parkville, MO 64152-3958
Phone (816) 251-5775
9400 E
Suite 350
Raytown, MO 64133-6509
Phone (816) 251-5700
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- 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 |
|---|---|---|---|---|
| I20060427000312 | MO | Practitioner - Nurse Practitioner | 5698762771 | Reassigns benefits to 1 organization |
| I20111027000456 | KS | Practitioner - Nurse Practitioner | 5698762771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1015472 | DC | MD | Family Nurse Practitioner |
| 146556 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Physician Group Inc | Family | Current |
Accepting new patients |
| Saint Luke'S Physician Group Inc | Current |
Accepting new patients | |
| Hand Surgery & Rehabilitation of North Jersey P.C. | Past | Accepting new patients | |
| Arthroscopic Surgery & Sports Medicine Center, PA | Past | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- jphillips445074@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 146556 | MO | Yes |
| Family Nurse Practitioner | 363LF0000X | RN1015472 | DC |
Addresses
Primary practice location
3421 West 6TH
Lawrence, KS 66049
Mailing address
3421 W 6TH St
Lawrence, KS 66049-3200
Phone (785) 330-7313
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200373100A | Medicaid | KS |
Other providers in Lawrence, KS
- Hoang Yen Thi Pham
- Van Phan
- Meg Phelan
- Sara Phelps
- Shirene Philipose
- Blake Gordon Phipps
- Bradley G. Phipps
- Carla B Phipps
- Jordan Phipps
- Deloris Pietzsch
All providers in Lawrence, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. 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.