Erin P. Cox, APRN
Individual provider Active NPI Nurse Practitioner · Leawood, KS
NPI 1407213846 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1407213846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-77620-082 (KS)
- Practice address
- 4801 College Blvd
Leawood, KS 66211-1628 - Phone
- (913) 721-3387
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160407002005 | MO | Practitioner - Nurse Practitioner | 8426356478 | Reassigns benefits to 1 organization |
| I20170515000990 | KS | Practitioner - Nurse Practitioner | 8426356478 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-77620-082 | KS | MD | Nurse Practitioner |
| 2011022542 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Pain and Rehab Associates LLC | Current |
Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current |
Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current |
Accepting new patients | |
| Ascentist Emergency Physicians, LLC | Past |
Accepting new patients |
Locations
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299
3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 680-6200
4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451
801 NW Saint Mary Dr
Ste 210
Blue Springs, MO 64014
Phone (816) 200-1533
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2011022542 | MO | |
| Nurse Practitioner | 363L00000X | 53-77620-082 | KS | Yes |
Addresses
Primary practice location
4801 College Blvd
Leawood, KS 66211-1628
Mailing address
5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200
Other names
- Erin P. Destefano
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.