Organization Active NPI

Everest Primary Care LLC

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1679401327
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
EVEREST PRIMARY CARE LLC
Practice address
5775 NW 64TH Ter Ste 203
Kansas City, MO 64151-3980
Phone
(816) 371-8677
NPI assigned
May 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Miss Ann Bruer, APRN, FNP-CNPI 1760248025
Title
Founder
Phone
(816) 371-8677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

5775 NW 64TH Ter Ste 203
Kansas City, MO 64151-3980

Mailing address

5775 NW 64TH Ter Ste 203
Kansas City, MO 64151-3980
Phone (816) 371-8677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260625004394 MO Part B Supplier - Clinic/Group Practice 2365915881 Receives reassigned benefits from 1 practitioner
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

5775 NW 64th Ter
Ste 203
Kansas City, MO 64151
Phone (816) 371-8677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1679401327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 NW 64TH TER STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641513980",
            "telephone_number": "816-371-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 NW 64TH TER STE 203",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641513980",
            "telephone_number": "816-371-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "BRUER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "816-371-8677",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.