Individual provider Active NPI

Aaron Michael Benson, FNP-C

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1720515257
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017017454 Issued in MO
Practice address
3601 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2316
Phone
(816) 285-5053
Fax
(816) 842-1974
NPI assigned
May 15, 2017
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-78013-092 KS
Family Nurse Practitioner 363LF0000X 2017017454 MO Primary

Addresses

Primary practice location

3601 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2316

Mailing address

5501 NW 62ND Ter Ste 100
Kansas City, MO 64151-2412
Phone (816) 842-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20171110002352 MO Practitioner - Nurse Practitioner 1153687959 Reassigns benefits to 2 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
Clay Platte Family Medicine ClinicGroup PAC ID 3173424231, 24 clinicians

Practice addresses (Care Compare)

5501 NW 62ND Ter
Suite 100
Kansas City, MO 64151-2412
Phone (816) 842-4440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78013-092KSMDFamily Nurse Practitioner
2017017454MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Platte Family Medicine Clinic CurrentSince Oct 1, 2024 Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Oct 23, 2017 Accepting new patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
Clay Platte Family Medicine Clinic CurrentSince Oct 1, 2024 Accepting new patients
New Liberty Hospital Corporation PastSince Oct 23, 2017 Accepting new patients

Locations

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095

5501 NW 62nd Ter
Ste 100
Kansas City, MO 64151
Phone (816) 842-4440

8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 523-4525

3601 NE Ralph Powell Rd
Ste C
Lees Summit, MO 64064
Phone (816) 285-5053

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/032e9fee-d494-4ca3-97ce-b40c8d2eecf6/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1720515257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NW 62ND TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512412",
            "telephone_number": "816-842-4440",
            "fax_number": "816-842-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 NE RALPH POWELL RD STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642316",
            "telephone_number": "816-285-5053",
            "fax_number": "816-842-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78013-092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017017454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.