Active NPI
Wellspring Regenerative Health, LLC
- Family Nurse Practitioner
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WELLSPRING REGENERATIVE HEALTH, LLC
- Practice address
- 13160 State Line Rd
Leawood, KS 66209-1708 - Phone
- (913) 270-9960
- Fax
- (913) 400-2091
- NPI assigned
- Sep 5, 2024
- Last updated
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Breen, FNP
- Title
- Nurse Practitioner
- Phone
- (913) 270-9960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 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
Other practice location 1
1741 NW Burdett Xing
Blue Springs, MO 64015-1610
Phone (913) 270-9960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407567068 | Medicaid | MO | |
| 1851823694 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
13160 State Line Rd
Leawood, KS 66209
Phone (816) 651-7813
905 E Wea St
Paola, KS 66071
Phone (913) 952-3760
1741 NW Burdett Xing
Blue Springs, MO 64015
Phone (816) 427-5244
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1407681687",
"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",
"fax_number": "913-400-2091"
}
],
"practiceLocations": [
{
"address_1": "1741 NW Burdett Xing",
"address_purpose": "LOCATION",
"city": "Blue Springs",
"state": "MO",
"postal_code": "640151610",
"country_code": "US",
"telephone_number": "913-270-9960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WELLSPRING REGENERATIVE HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "BREEN",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "913-270-9960",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407567068",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851823694",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.