Individual provider Active NPI

Andrea Constance Jasdanwala, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1619405602
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030255 Issued in CA
Practice address
7505 E 87TH St
Kansas City, MO 64138-3917
Phone
(573) 201-0356
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 2016035602 MO
Family Nurse Practitioner 363LF0000X 95030255 CA Primary

Addresses

Primary practice location

7505 E 87TH St
Kansas City, MO 64138-3917

Mailing address

7505 E 87TH St
Kansas City, MO 64138-3917
Phone (573) 201-0356

Other names 1

  • Andrea Constance Binkowski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251017001917 CA Practitioner - Nurse Practitioner 9335484369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8060 Shelborne Dr
Granite Bay, CA 95746-8627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016035602MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Center, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Ozark Rural Healthcare LLC CurrentSince Nov 1, 2022 Accepting new patients
Family Counseling Center, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Pacific Medical Partners PC CurrentSince Jun 17, 2025 Accepting new patients
Ozark Recovery Housing LLC CurrentSince Jan 7, 2025 Accepting new patients

Locations

2999 Douglas Blvd
Ste 180
Roseville, CA 95661
Phone (804) 993-4769

20 S Sprigg St
Cape Girardeau, MO 63703
Phone (573) 651-4177

500 State Highway J
Hayti, MO 63851
Phone (573) 359-9840

7505 E 87th St
Kansas City, MO 64138
Phone (573) 201-0356

925 State Route VV
Kennett, MO 63857
Phone (573) 359-9840

3001 Warrior Ln
Poplar Bluff, MO 63901
Phone (573) 785-7453

1003 Hauck Dr
Rolla, MO 65401
Phone (312) 953-5636

1015 Lanton Rd
West Plains, MO 65775
Phone (417) 256-2570

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1619405602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "573-201-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "573-201-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASDANWALA",
        "first_name": "ANDREA",
        "middle_name": "CONSTANCE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016035602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BINKOWSKI",
            "middle_name": "CONSTANCE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.