Russell WL Vanderlinden, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2013030774 Issued in MO

Practice address

1860 N Church Rd
Liberty, MO 64068-7179

Phone

(816) 415-2828

Fax

(816) 883-2993

NPI assigned

Aug 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Kansas School of Med (KC/Wich/Sal), 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergent Care Plus LLCGroup PAC ID 0547328460, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Emergent Care Plus, LLC

  • Urgent Care Clinic/Center
  • Lees Summit, MO
  • NPI 1396923181
  Medicare reassignment Care Compare group
• Emergent Care Plus of Overland Park, LLC

  • Urgent Care Clinic/Center
  • Leavenworth, KS
  • NPI 1811224371
  Medicare reassignment NPD
• New Liberty Hospital Corporation

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1023360690
  NPD (past)

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1205260577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640240226",
            "telephone_number": "816-520-1710",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N CHURCH RD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687179",
            "telephone_number": "816-415-2828",
            "fax_number": "816-883-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 W 135th St Ste 190",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662248721",
            "country_code": "US",
            "telephone_number": "913-428-8000",
            "fax_number": "913-428-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERLINDEN",
        "first_name": "RUSSELL",
        "middle_name": "WL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013030774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US PT Therapy Services Inc.
• Erin Elizabeth Vallier, LPC
• Kirstie Schneider Van Ry, M.D.
• Cristin Vancleve, CRNA
• Virginia Vanderford
• Jordan Rachelle Vanness, ATC
• Vas-Nes, P.C.
• Vascular Surgery Associates, P.C.
• Vein Doctor LLC
• Ana Venegas

• Family Nurse Practitioner in Liberty, MO
• Providers in Liberty, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.

Verify at the official NPI Registry.