Individual provider Active NPI

Anthony Joseph Breen, FNP

  • Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1407567068
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-81785-092 Issued in KS
Practice address
13160 State Line Rd
Leawood, KS 66209-1708
Phone
(913) 270-9960
NPI assigned
Dec 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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 2022046445 MO
Nurse Practitioner 363L00000X 53-81785-092 KS Primary

Addresses

Primary practice location

13160 State Line Rd
Leawood, KS 66209-1708

Mailing address

13160 State Line Rd
Leawood, KS 66209-1708
Phone (913) 270-9960

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
I20221216002290 MO Practitioner - Nurse Practitioner 1850760695 Reassigns benefits to 1 organization
I20250619002422 KS Practitioner - Nurse Practitioner 1850760695 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
Wellspring Regenerative Health, LLCGroup PAC ID 5496266082, 2 clinicians

Practice addresses (Care Compare)

13160 State Line Rd
Leawood, KS 66209-1708
Phone (816) 651-7813

1741 NW Burdett Xing
Blue Springs, MO 64015-1610
Phone (913) 270-9960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-81785-092KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Regenerative Health, LLC Family CurrentSince Aug 1, 2024 Accepting new patients
Rose Family Chiropractic LLC Past Accepting new patients

Locations

13160 State Line Rd
Leawood, KS 66209
Phone (816) 651-7813

12120 State Line Rd
Leawood, KS 66209
Phone (913) 302-7183

1741 NW Burdett Xing
Blue Springs, MO 64015
Phone (816) 427-5244

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": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1407567068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091708",
            "telephone_number": "913-270-9960",
            "fax_number": "913-400-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091708",
            "telephone_number": "913-270-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022046445",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81785-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.