Individual provider Active NPI

Anna Maizlin, APRN, ANP-BC

  • Adult Health Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1639594864
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
76257 Issued in KS
Practice address
200 NE Missouri Rd Ste 306
Lees Summit, MO 64086-4715
Phone
(913) 428-2900
NPI assigned
Feb 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2014001693 MO
Adult Health Nurse Practitioner 363LA2200X 76257 KS Primary

Addresses

Primary practice location

200 NE Missouri Rd Ste 306
Lees Summit, MO 64086-4715

Mailing address

8717 W 110TH St Ste 600
Overland Park, KS 66210-2126
Phone (913) 428-2900

Other practice location 1

2330 Shawnee Mission Pkwy
Westwood, KS 66205-2005
Phone (913) 558-7750 ext. 8141

Other names 1

  • Anna Brazer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20140403002252 KS Practitioner - Nurse Practitioner 1456583590 Reassigns benefits to 1 organization
I20141216001750 MO Practitioner - Nurse Practitioner 1456583590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KC Pain Centers LLCGroup PAC ID 9335137546, 9 clinicians

Practice addresses (Care Compare)

200 NE Missouri Rd
Lees Summit, MO 64086-4722
Phone (816) 282-5370

5525 W 119TH St
Overland Park, KS 66209-3724
Phone (816) 767-3200

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
86.14
Improvement activities
40
Cost
69.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76257KSMDAdult Health Nurse Practitioner
2014001693MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PC CurrentSince Dec 28, 2022 Accepting new patients
KC Pain Centers, LLC CurrentSince Nov 10, 2014 Accepting new patients
Inpatient Consultants of Kansas PA Past Accepting new patients

Locations

5525 W 119th St
Overland Park, KS 66209
Phone (913) 227-0916

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

200 NE Missouri Rd
Lees Summit, MO 64086
Phone (816) 282-5370

200 NE Missouri Rd
Ste 100
Lees Summit, MO 64086
Phone (816) 282-5370

200 NE Missouri Rd
Ste 306
Lees Summit, MO 64086
Phone (816) 768-6000

200 NE Missouri Rd
Ste 103
Lees Summit, MO 64086

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

Interoperability endpoints

  • Direct secure messaging: anna.brazer@kcpain.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1639594864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 W 110TH ST STE 600",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102126",
            "telephone_number": "913-428-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD STE 306",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864715",
            "telephone_number": "913-428-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 Shawnee Mission Pkwy",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "KS",
            "postal_code": "662052005",
            "country_code": "US",
            "telephone_number": "913-558-7750 x8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIZLIN",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "APRN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-25",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2014001693",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "76257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BRAZER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.