Active NPI
Kourtney Burnett, FNP
- Family Nurse Practitioner
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5377547111
- Practice address
- Minute Clinic Diagnostic of Kansas P.a. Clinic 8602
7501 Metcalf Ave
Overland Park, KS 66204-2927 - Phone
- (913) 642-6330
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016045017 | MO | |
| Family Nurse Practitioner | 363LF0000X | 5377547111 | KS | Primary |
Addresses
Primary practice location
Minute Clinic Diagnostic of Kansas P.a. Clinic 8602
7501 Metcalf Ave
Overland Park, KS 66204-2927
Mailing address
901 E 104TH St
Mailstop 400S
Kansas City, MO 64131-4517
Phone (816) 599-9499
Other practice location 1
500 NE Barry Rd
Kansas City, MO 64155-2879
Phone (816) 251-5790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170324000933 | MO | Practitioner - Nurse Practitioner | 1052696556 | Reassigns benefits to 3 organizations |
| I20200720000083 | KS | Practitioner - Nurse Practitioner | 1052696556 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wound Care Plus LLCEnhanced Wound Care LLCWound Healing Care Specialists Mo Inc
Practice addresses (Care Compare)
108 N Walnut St
Pleasant View Home
Inman, KS 67546-8016
Phone (888) 256-3814
1210 Spring St
Weston, MO 64098-1154
Phone (913) 424-3068
15620 Manchester Rd
Suite 2
Ellisville, MO 63011-2276
Phone (314) 699-9181
9393 W 110TH St
Suite 509
Overland Park, KS 66210-1442
Phone (913) 429-3068
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.88 of 100
- Quality
- 69
- Improvement activities
- 40
- Cost
- 49.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5377547111 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Healing Care Specialists Mo Inc | Current | Accepting new patients | |
| Wound Healing Care Specialists KS Inc | Current | Accepting new patients | |
| Enhanced Wound Care LLC | Current | Accepting new patients | |
| Enhanced Wound Care LLC | Current | Accepting new patients | |
| Saint Luke'S Neighborhood Clinics, LLC | Past | Accepting new patients |
Locations
3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
9393 W 110th St
Ste 509
Overland Park, KS 66210
Phone (913) 429-3068
7300 W 110th St
Fl 7
Overland Park, KS 66210
Phone (650) 761-4056
15620 Manchester Rd
Ste 2
Ellisville, MO 63011
Phone (314) 699-9181
6440 Avondale Dr
Nichols Hills, OK 73116
Organizations & group practices 7
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.
-
- Point of Service
- Nichols Hills, OK
- NPI 1306594148
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1346783008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1699215822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400S",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-599-9499",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MINUTE CLINIC DIAGNOSTIC OF KANSAS P.A. CLINIC 8602",
"address_2": "7501 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042927",
"telephone_number": "913-642-6330"
}
],
"practiceLocations": [
{
"address_1": "500 NE Barry Rd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641552879",
"country_code": "US",
"telephone_number": "816-251-5790",
"fax_number": "816-251-5791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNETT",
"first_name": "KOURTNEY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2021-08-30",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016045017",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "5377547111",
"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 Aug 30, 2021; 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.