Individual provider Active NPI

Andrew Christopher Beisser, A-GNP-C

  • Gerontology Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1275241978
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2022042410 Issued in MO
Practice address
400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030
Phone
(913) 681-2398
Fax
(913) 681-2416
NPI assigned
Nov 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-81732-062 KS
Gerontology Nurse Practitioner 363LG0600X 2022042410 MO Primary

Addresses

Primary practice location

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030

Mailing address

400 E Red Bridge Rd Ste 207
Kansas City, MO 64131-4030
Phone (913) 681-2398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230629002100 MO Practitioner - Nurse Practitioner 3971962572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Associates of Kansas City PCGroup PAC ID 8325011075, 8 clinicians

Practice addresses (Care Compare)

2001 NW Shamrock Ave
Lees Summit, MO 64081-1634
Phone (816) 361-0670

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81732-062KSMDGerontology Nurse Practitioner
2022042410MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Associates of Kansas City PC CurrentSince Oct 28, 2024 Accepting new patients
Dialysis Clinic, Inc. Past Accepting new patients
Dialysis Clinic Inc. Past Accepting new patients

Locations

6530 Troost Ave
Ste B
Kansas City, MO 64131
Phone (816) 361-0670

6530 Troost Ave
Ste A
Kansas City, MO 64131
Phone (816) 361-0670

219 NW Executive Way
Lees Summit, MO 64063
Phone (816) 361-0670

2001 NW Shamrock Ave
Lees Summit, MO 64081
Phone (816) 361-0670

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1275241978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "913-681-2398",
            "fax_number": "913-681-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E RED BRIDGE RD STE 207",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314030",
            "telephone_number": "913-681-2398",
            "fax_number": "913-681-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEISSER",
        "first_name": "ANDREW",
        "middle_name": "CHRISTOPHER",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-81732-062",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2022042410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.