Individual provider Active NPI

Paula K Connery, RN, FNP-C

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1447393897
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
111426 Issued in MO
Practice address
4000 Cambridge St
BH B320, Ms 1019
Kansas City, KS 66160-8501
Phone
(913) 588-1227
NPI assigned
Feb 15, 2007
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 111426 MO Primary
Emergency Clinical Nurse Specialist 364SE0003X 111426 MO

Addresses

Primary practice location

4000 Cambridge St
BH B320, Ms 1019
Kansas City, KS 66160-8501

Mailing address

14607 Hills Rd
Kearney, MO 64060-8785
Phone (816) 628-5212

Other identifiers 1

IdentifierTypeStateIssuer
1447393897MedicaidMO

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
I20071117000171 MO Practitioner - Nurse Practitioner 3274621610 Reassigns benefits to 2 organizations
I20220927002370 KS Practitioner - Nurse Practitioner 3274621610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111426MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Sep 1, 2022 Accepting new patients
University of Kansas Hospital Authority CurrentSince Sep 1, 2022 Accepting new patients
Midwest Emergency Medical Services PC CurrentSince Dec 8, 2008 Accepting new patients
Physicians Acute Care Services, Inc Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

4000 Cambridge St
#B320
Kansas City, KS 66160

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

2800 Hospital Dr
North Kansas City, MO 64116
Phone (816) 221-5050

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1447393897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14607 HILLS RD",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608785",
            "telephone_number": "816-628-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CAMBRIDGE ST",
            "address_2": "BH B320, MS 1019",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608501",
            "telephone_number": "913-588-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERY",
        "first_name": "PAULA",
        "middle_name": "K",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "111426",
            "primary": true
        },
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "MO",
            "license": "111426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447393897",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.