Individual provider Active NPI

Kassandra Nicole Johns, APRN

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1649037409
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5382946011 Issued in KS
Practice address
6240 W 135TH St Ste 150
Overland Park, KS 66223-4857
Phone
(913) 632-9500
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Adventhealth Ransom Memorial Inc 40 clinicians

Practice addresses (Care Compare)

1301 S Main St
Ottawa, KS 66067-3537

Hospital & facility affiliations

  • Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240515003728 KS Practitioner - Nurse Practitioner 9335580760 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5382946011KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Ransom Memorial, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Adventhealth Ransom Memorial, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Shawnee Mission Medical Center Inc CurrentSince Apr 8, 2024 Accepting new patients

Locations

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

901 S Main St
Ottawa, KS 66067
Phone (785) 229-8888

6240 W 135th St
Ste 150
Overland Park, KS 66223
Phone (913) 632-3500

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: kjohns807300@adventhealth.direct-ci.com

NPPES NPI Registry

Updated by the provider on Feb 28, 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 5382946011 KS Primary

Addresses

Primary practice location

6240 W 135TH St Ste 150
Overland Park, KS 66223-4857

Mailing address

17920 Sunflower Rd
Edgerton, KS 66021-9771
Phone (785) 248-3088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2024.

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1649037409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17920 SUNFLOWER RD",
            "city": "EDGERTON",
            "state": "KS",
            "postal_code": "660219771",
            "telephone_number": "785-248-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234857",
            "telephone_number": "913-632-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "KASSANDRA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5382946011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.