Jeffrey John Villareal Javier, DNP, APRN, FNP-C
Individual provider Active NPI Nurse Practitioner · Kansas City, KS
NPI 1497533665 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1497533665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 53-82437-042 (KS)
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-8501 - Phone
- (915) 588-6005
- Fax
- (913) 588-3877
- NPI assigned
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
Hospital & facility affiliations
- University of Kansas Health System Olathe Hospital
- University of Kansas Hospital
- Miami County Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20231019002642 | KS | Practitioner - Nurse Practitioner | 8628424165 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-144913-042 | KS | MD | Registered Nurse |
| 53-82437-042 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current |
Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111
Interoperability endpoints
- jjavier552467@direct.kuha.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-144913-042 | KS | |
| Nurse Practitioner | 363L00000X | 53-82437-042 | KS | Yes |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
5619 SW 36TH Ter
Topeka, KS 66614-4541
Phone (785) 969-9038
Other providers in Kansas City, KS
- Andrew James Jarzen
- Jason Wiltshire MD an Operating Division of Providence Medical Ctr
- Jason Wiltshire, MD, PA
- Nimra Javaid
- Melissa Javellana
- Omar Jawdat
- Marandapalli R Jayaram
- Jayhawk Primary Care Inc
- Jayhawk Primary Care Inc
- Jayhawk Primary Care Inc
All providers in Kansas City, KS · Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.