Nisa Ngoc Dang Gregson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77663 Issued in KS

Practice address

6700 W 121St St Ste 300
Overland Park, KS 66209-2028

Phone

(913) 871-9888

Fax

(913) 871-1477

NPI assigned

Jul 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nisa Ngoc Dang Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid America Pain Clinic LLCGroup PAC ID 7012316870, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nisa.gregson@3858.securemail.prognocis.com

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.

• Mid America Pain Clinic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Overland Park, KS
  • NPI 1699362822
  Medicare reassignment Care Compare group NPD
• Raza Jafri MD LLC

  • Pain Clinic/Center
  • Overland Park, KS
  • NPI 1225493372
  Medicare reassignment
• Pam Carney PT LLC

  • Physical Therapist
  • Shawnee, KS
  • NPI 1841452943
  NPD (past)

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1700308079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 STEARNS ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217545",
            "telephone_number": "913-449-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W 121ST ST STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092028",
            "telephone_number": "913-871-9888",
            "fax_number": "913-871-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGSON",
        "first_name": "NISA",
        "middle_name": "NGOC DANG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-08",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NISA",
            "last_name": "DANG",
            "middle_name": "NGOC",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peggy Gregg, LMT
• Gregor Eye Care, PA
• Leslie Ann Gregor, O.D.
• Deno Larry Gregory, LAC, NCACI, SAP
• Suzette Michele Gregory
• Lisa Jane Gress, PT
• Gagan Grewal, MD
• Rimi Grewal, MD
• Rishi Singh Grewal, MD
• Sabrina Grewe, RDH

• Family Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.

Verify at the official NPI Registry.