Individual provider Active NPI

Jennifer Dawn Anderson, ARNP

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1497944797
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
46080 Issued in KS
Practice address
3901 Rainbow Blvd
Ste G600
Kansas City, KS 66160-8500
Phone
(913) 588-9600
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 46080 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Ste G600
Kansas City, KS 66160-8500

Mailing address

5501 NW 62ND Ter
Suite 201
Kansas City, MO 64151-2408
Phone (816) 584-8884

Other identifiers 2

IdentifierTypeStateIssuer
200587770AMedicaidKS
1497944797MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20080812000850 KS Practitioner - Nurse Practitioner 3375618234 Reassigns benefits to 3 organizations
I20180208001124 MO Practitioner - Nurse Practitioner 3375618234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-America Cardiology Associates IncGroup PAC ID 7012801103, 110 clinicians
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

10787 Nall Ave
Suite 300
Overland Park, KS 66211-1372
Phone (913) 588-9400

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

1530 N Church Rd
Liberty, MO 64068-7129
Phone (913) 588-1227

2790 Clay Edwards Dr
Suite 405
North Kansas City, MO 64116-3274
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • LMH Hospital, Lawrence, KS, CCN 170137
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Apr 1, 2025 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
University of Kansas Hospital Authority CurrentSince Jun 1, 2017 Accepting new patients
University of Kansas Hospital Authority CurrentSince Jun 1, 2017 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Mid-America Cardiology Associates, Inc. CurrentSince Apr 21, 2008 Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

820 Ravenhill Dr
Ste 160A
Atchison, KS 66002
Phone (913) 367-6227

4000 Cambridge St
Ste G600
Kansas City, KS 66160
Phone (913) 588-7743

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

4000 Cambridge St
Ste BHG600
Kansas City, KS 66160

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

3901 Rainbow Blvd
Ste G600
Kansas City, KS 66160
Phone (913) 588-9600

10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400

7420 Switzer Rd
Shawnee Mission, KS 66203
Phone (913) 262-9201

5501 NW 62nd Ter
Ste 201
Kansas City, MO 64151
Phone (816) 584-8884

1530 N Church Rd
Liberty, MO 64068
Phone (816) 415-1900

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

3943 Sherman Ave
Saint Joseph, MO 64506
Phone (816) 279-6666

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1497944797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512408",
            "telephone_number": "816-584-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "STE G600",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200587770A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497944797",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.