Active NPI
Jillian Paige Bruenn, APRN
- Nurse Practitioner
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 82412
- Practice address
- 4000 Cambridge St Ste G600
Kansas City, KS 66160-8501 - Phone
- (913) 588-1227
- NPI assigned
- Aug 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 82412 | 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 (913) 588-1227
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250529004074 | KS | Practitioner - Nurse Practitioner | 1254840507 | Reassigns benefits to 1 organization |
| I20250701004491 | MO | Practitioner - Nurse Practitioner | 1254840507 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82412 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivxpress Inc | Current | Accepting new patients | |
| Infusion Express of Kansas LLC | Past | Accepting new patients |
Locations
13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733
13340 Metcalf Ave
Overland Park, KS 66213
Phone (913) 851-2739
22223 W 66th St
Shawnee, KS 66226
Phone (913) 224-0030
1201 NW Briarcliff Pkwy
Ste 125
Kansas City, MO 64116
Phone (816) 256-5346
3600 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 272-0174
Organizations & group practices 2
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.
-
- Infusion Therapy Clinic/Center
- Overland Park, KS
- NPI 1922554732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1255014684",
"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": "913-588-1227"
},
{
"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": "913-588-1227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUENN",
"first_name": "JILLIAN",
"middle_name": "PAIGE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-11",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "82412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.