Individual provider Active NPI

Theresa Mueller, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1609267806
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2015002659 Issued in MO
Practice address
7050 W 107TH St Ste 10
Overland Park, KS 66212-1921
Phone
(816) 682-8559
NPI assigned
Feb 10, 2015
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-76653-042 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015002659 MO Primary

Addresses

Primary practice location

7050 W 107TH St Ste 10
Overland Park, KS 66212-1921

Mailing address

15106 W 83Rd St
Lenexa, KS 66219-1522
Phone (913) 548-3734

Other practice location 1

1000 E 24th St
Kansas City, MO 64108-2776
Phone (816) 548-6885

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
I20170131001078 MO Practitioner - Nurse Practitioner 9739461575 Reassigns benefits to 1 organization
I20200413000998 KS Practitioner - Nurse Practitioner 9739461575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bee Well Psychiatric Associates, LLCGroup PAC ID 8426484528, 4 clinicians

Practice addresses (Care Compare)

7050 W 107TH St
Suite 10
Overland Park, KS 66212-1921
Phone (816) 682-8559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-76653-042KSMDPsychiatric/Mental Health Nurse Practitioner
2015002659MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Well Psychiatric Associates, LLC Psychiatric/Mental Health CurrentSince Feb 1, 2020 Accepting new patients
Renu Brain Treatment Center, LLC CurrentSince Jul 21, 2021 Accepting new patients

Locations

7050 W 107th St
Ste 10
Overland Park, KS 66212
Phone (660) 270-7110

9237 Ward Pkwy
Ste 240
Kansas City, MO 64114
Phone (816) 321-1414

Organizations & group practices 2

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": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1609267806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15106 W 83RD ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191522",
            "telephone_number": "913-548-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W 107TH ST STE 10",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121921",
            "telephone_number": "816-682-8559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E 24th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082776",
            "country_code": "US",
            "telephone_number": "816-548-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-76653-042",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015002659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.