Individual provider Active NPI

Shannon Dale Burchett

  • Family Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1619708633
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024009618 Issued in MO
Practice address
1950 Diamond Pkwy
North Kansas City, MO 64116-4328
Phone
(816) 842-6717
Fax
(816) 842-2574
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 2024009618 MO Primary

Addresses

Primary practice location

1950 Diamond Pkwy
North Kansas City, MO 64116-4328

Mailing address

2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602
Phone (816) 781-8400

Other practice location 1

2529 Glenn Hendren Dr Ste 202
Liberty, MO 64068-9602
Phone (816) 781-8400

Other names 1

  • Shannon Dale Auxier 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
I20240822001317 MO Practitioner - Nurse Practitioner 9931648979 Reassigns benefits to 2 organizations
I20240827002126 KS Practitioner - Nurse Practitioner 9931648979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048
  • NKC Health Hospital, North Kansas City, MO, CCN 260096
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. CurrentSince Aug 26, 2024 Accepting new patients
Kansas City Urology Care, P.a. PastSince Apr 6, 2021 Accepting new patients

Locations

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

2529 Glenn Hendren Dr
Ste 202
Liberty, MO 64068
Phone (816) 781-7200

1950 Diamond Pkwy
Ste 200
North Kansas City, MO 64116
Phone (816) 842-6717

1950 Diamond Pkwy
North Kansas City, MO 64116
Phone (816) 561-3003

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1619708633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 GLENN HENDREN DR STE 202",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689602",
            "telephone_number": "816-781-8400",
            "fax_number": "816-781-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164328",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2529 Glenn Hendren Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640689602",
            "country_code": "US",
            "telephone_number": "816-781-8400",
            "fax_number": "816-781-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCHETT",
        "first_name": "SHANNON",
        "middle_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024009618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "AUXIER",
            "middle_name": "DALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.