Active NPI
Kassandra Nicole Johns, APRN
- Family Nurse Practitioner
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5382946011
- 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.
-
- Rural Health Clinic/Center
- Ottawa, KS
- NPI 1558824805
-
- Rural Health Clinic/Center
- Wellsville, KS
- NPI 1043773591
-
- General Acute Care Hospital
- Ottawa, KS
- NPI 1972063758
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
Practice addresses (Care Compare)
1301 S Main St
Ottawa, KS 66067-3537
Hospital & facility affiliations
- Adventhealth Ottawa
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240515003728 | KS | Practitioner - Nurse Practitioner | 9335580760 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5382946011 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Ransom Memorial, Inc. | Current | Accepting new patients | |
| Adventhealth Ransom Memorial, Inc. | Current | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Current | 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
- kjohns807300@adventhealth.direct-ci.com
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.