Individual provider Active NPI

Benjamin Murbach, AGNP-BC, A-GNP-C

  • Adult Health Nurse Practitioner
  • Independence, MO
National Provider Identifier
1316316698
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2015016104 Issued in MO
Practice address
14310 E 42ND St S
Independence, MO 64055-7308
Phone
(816) 333-9200
NPI assigned
Sep 17, 2015
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2015016104 MO Primary
Gerontology Nurse Practitioner 363LG0600X 2015016104 MO
Primary Care Nurse Practitioner 363LP2300X 2015016104 MO

Addresses

Primary practice location

14310 E 42ND St S
Independence, MO 64055-7308

Mailing address

14310 E 42ND St S
Unit 600
Independence, MO 64055-7308
Phone (816) 333-9200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160513001841 MO Practitioner - Nurse Practitioner 7214226208 Reassigns benefits to 1 organization
I20230501000712 KS Practitioner - Nurse Practitioner 7214226208 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015016104MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Sep 6, 2023 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jan 26, 2023 Accepting new patients
Crossroads Hospice of Kansas City LC CurrentSince Nov 6, 2022 Accepting new patients

Locations

14310 E 42nd St S
Ste 600
Independence, MO 64055
Phone (816) 333-7308

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1316316698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 E 42ND ST S",
            "address_2": "UNIT 600",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557308",
            "telephone_number": "816-333-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 E 42ND ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557308",
            "telephone_number": "816-333-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURBACH",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "AGNP-BC, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-17",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015016104",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2015016104",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2015016104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.