Individual provider Active NPI

Jennifer Rene' Kershner

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1689441669
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-82777-031 Issued in KS
Practice address
5100 W 110TH St Ste 120
Overland Park, KS 66211-1215
Phone
(913) 234-7600
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-82777-031 KS Primary
Nurse Practitioner 363L00000X 2024000041 MO

Addresses

Primary practice location

5100 W 110TH St Ste 120
Overland Park, KS 66211-1215

Mailing address

5100 W 110TH St Ste 120
Overland Park, KS 66211-1215
Phone (913) 234-7600

Other practice location 1

7230 Renner Rd
Shawnee, KS 66217-9901
Phone (913) 962-2122

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
I20240124003299 KS Practitioner - Nurse Practitioner 8325491582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

Hospital & facility affiliations

  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Providence Medical Center Hospital, Kansas City, KS, CCN 170146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82777-031KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Dec 31, 2025 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Dec 31, 2025 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

7230 Renner Rd
Shawnee, KS 66217
Phone (913) 962-2122

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

Interoperability endpoints

  • Direct secure messaging: jennifer.kershner@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1689441669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-234-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-234-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 Renner Rd",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662179901",
            "country_code": "US",
            "telephone_number": "913-962-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERSHNER",
        "first_name": "JENNIFER",
        "middle_name": "RENE'",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82777-031",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024000041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.