Individual provider Active NPI

Shannon Ortman, APRN-C

  • Adult Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1710300074
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
76234 Issued in KS
Practice address
11661 College Blvd
Overland Park, KS 66210-4107
Phone
(913) 432-8400
Fax
(913) 432-8402
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 76234 KS Primary

Addresses

Primary practice location

11661 College Blvd
Overland Park, KS 66210-4107

Mailing address

11661 College Blvd
Overland Park, KS 66210-4107
Phone (913) 432-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140401000975 KS Practitioner - Nurse Practitioner 2668603804 Reassigns benefits to 2 organizations
I20140423001907 MO Practitioner - Nurse Practitioner 2668603804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Mission Internal Medicine LLCGroup PAC ID 5890226922, 2 clinicians

Practice addresses (Care Compare)

11661 College Blvd
Suite 100
Overland Park, KS 66210-4104
Phone (913) 954-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ammar Khalifa, M.D., L.L.C. CurrentSince Jan 14, 2014 Accepting new patients
Shawnee Mission Internal Medicine LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

11661 College Blvd
Ste 100
Overland Park, KS 66210
Phone (913) 495-5517

11661 College Blvd
Overland Park, KS 66210
Phone (913) 432-8400

10000 Wornall Rd
Kansas City, MO 64114
Phone (816) 942-0001

Interoperability endpoints

  • Direct secure messaging: sarahh@continuum.gwaydirect.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 2

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": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1710300074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104107",
            "telephone_number": "913-432-8400",
            "fax_number": "913-432-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 COLLEGE BLVD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104107",
            "telephone_number": "913-432-8400",
            "fax_number": "913-432-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTMAN",
        "first_name": "SHANNON",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "76234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.