Individual provider Active NPI

Jillian Paige Bruenn, APRN

  • Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1255014684
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
82412 Issued in KS
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

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO2 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
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

LicenseStateTypeSpecialty
82412KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivxpress Inc CurrentSince Apr 21, 2025 Accepting new patients
Infusion Express of Kansas LLC PastSince May 5, 2025 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.

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

Verify at the official NPI Registry.