Individual provider Active NPI

Jennifer Lyne Parks, NP-C

  • Family Nurse Practitioner
  • Butler, MO
National Provider Identifier
1356700496
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015043229 Issued in MO
Practice address
805 N Orange St
Butler, MO 64730-9382
Phone
(844) 853-8937
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 77090 KS
Family Nurse Practitioner 363LF0000X 2015043229 MO Primary

Addresses

Primary practice location

805 N Orange St
Butler, MO 64730-9382

Mailing address

16525 NW County Road 14781
Drexel, MO 64742-9715
Phone (816) 805-3788

Other practice location 1

1800 Community
Clinton, MO 64735-8804
Phone (844) 853-8937

Other practice location 2

4300 W 133rd St Ste 200
Leawood, KS 66209-3307
Phone (913) 681-5698

Other practice location 3

101 Hospital Dr
Osceola, MO 64776-9547
Phone (844) 853-8937

Other names 1

  • Mrs. Jennifer Lyne Hellebuyck Former name

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
I20201202000211 MO Practitioner - Nurse Practitioner 0345651022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77090KSMDFamily Nurse Practitioner
2015043229MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Dec 14, 2020 Accepting new patients
Compass Health, Inc CurrentSince Dec 14, 2020 Accepting new patients
Kansas Wellness Associates LLC Past Accepting new patients
Low-T Physicians Services PLLC Past Accepting new patients

Locations

805 N Orange St
Butler, MO 64730
Phone (660) 200-7042

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

101 Hospital Dr
Osceola, MO 64776
Phone (417) 646-2054

501 N Sunset Ln
Raymore, MO 64083
Phone (448) 538-9378

Organizations & group practices 4

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1356700496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 NW COUNTY ROAD 14781",
            "city": "DREXEL",
            "state": "MO",
            "postal_code": "647429715",
            "telephone_number": "816-805-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N ORANGE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647309382",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Community",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MO",
            "postal_code": "647358804",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 W 133rd St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662093307",
            "country_code": "US",
            "telephone_number": "913-681-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "MO",
            "postal_code": "647769547",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JENNIFER",
        "middle_name": "LYNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015043229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HELLEBUYCK",
            "middle_name": "LYNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.