Individual provider Active NPI

Colleen Coleman, AGNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1609317049
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017017452 Issued in MO
Practice address
4321 Washington St
MP III, Suite 4000
Kansas City, MO 64111-5961
Phone
(816) 932-3300
Fax
(816) 932-5793
NPI assigned
Mar 18, 2017
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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 2017017452 MO Primary
Primary Care Nurse Practitioner 363LP2300X 2017017452 MO

Addresses

Primary practice location

4321 Washington St
MP III, Suite 4000
Kansas City, MO 64111-5961

Mailing address

901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64131-9712
Phone (816) 502-8752

Other names 1

  • Colleen Bowerman Former name

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
I20170710000142 MO Practitioner - Nurse Practitioner 9436428315 Reassigns benefits to 2 organizations
I20230223000650 KS Practitioner - Nurse Practitioner 9436428315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

12200 W 110TH St
Rad Therapy
Overland Park, KS 66210-4045
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

8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
2017017452MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
University of Kansas Hospital Authority CurrentSince Feb 9, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 9, 2023 Accepting new patients
University of Kansas Hospital Authority CurrentSince Feb 9, 2023 Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 9, 2023 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients

Locations

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

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

12200 W 110th St
Shawnee Mission, KS 66210
Phone (913) 469-0002

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

4321 Washington St
Ste 4000
Kansas City, MO 64111
Phone (816) 932-4549

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

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

Interoperability endpoints

  • Direct secure messaging: ccoleman708068@direct.kuha.org

Organizations & group practices 6

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 6

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1609317049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 104TH ST.",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641319712",
            "telephone_number": "816-502-8752",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST",
            "address_2": "MP III, SUITE 4000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115961",
            "telephone_number": "816-932-3300",
            "fax_number": "816-932-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "COLLEEN",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017017452",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2017017452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "BOWERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.