Individual provider Active NPI

Ershan Yu

  • Psychiatric/Mental Health Nurse Practitioner
  • Raymore, MO
National Provider Identifier
1518830165
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-84807-021 Issued in KS
Practice address
1500 W Foxwood Dr Ste B
Raymore, MO 64083-9372
Phone
(816) 715-0651
NPI assigned
Sep 29, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-84807-021 KS Primary

Addresses

Primary practice location

1500 W Foxwood Dr Ste B
Raymore, MO 64083-9372

Mailing address

1500 W Foxwood Dr Ste B
Raymore, MO 64083-9372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260205000513 KS Practitioner - Nurse Practitioner 4385123884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Primary Care PAGroup PAC ID 2466796024, 16 clinicians

Practice addresses (Care Compare)

10665 Barkley St
Overland Park, KS 66212-1848
Phone (913) 642-5400

12441 W 151St St
Prairie Elden Farm East
Overland Park, KS 66221-2305
Phone (913) 499-7314

12481 W 151St St
Prairie Elden Farm West
Overland Park, KS 66221-2305
Phone (913) 499-7317

12500 W
135St Sunrise of Overland Park
Overland Park, KS 66221-9323
Phone (913) 685-3340

12500 W 137TH St
Overland Park, KS 66221-4129
Phone (913) 730-3700

15700 W 151St St
Benton House Olathe
Olathe, KS 66062-3059
Phone (913) 971-0300

22000 Prairie Star Pkwy
Lenexa, KS 66220-7901
Phone (913) 839-4097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84807-021KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Primary Care PA CurrentSince Dec 27, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1518830165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W FOXWOOD DR STE B",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W FOXWOOD DR STE B",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839372",
            "telephone_number": "816-715-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ERSHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-84807-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.