Individual provider Active NPI

Brigit Gwendeline Rauterkus

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1720764178
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06230250 Issued in KS
Practice address
11106 W 144TH Ter
Overland Park, KS 66221-8052
Phone
(402) 649-0254
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06230250 KS Primary

Addresses

Primary practice location

11106 W 144TH Ter
Overland Park, KS 66221-8052

Mailing address

11106 W 144TH Ter
Overland Park, KS 66221-8052
Phone (402) 649-0254

Other practice location 1

9119 W 74th St Ste 300
Overland Park, KS 66204-2229
Phone (913) 677-3113

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
I20230919002475 KS Practitioner - Nurse Practitioner 1951765254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Services LLCGroup PAC ID 1658500962, 39 clinicians

Practice addresses (Care Compare)

9119 W 74TH St
300 Womens Health Associates
Shawnee Mission, KS 66204-2229
Phone (913) 677-3113

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06230250KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Physician Services CurrentSince Aug 26, 2023 Accepting new patients
Womens Care Past Accepting new patients

Locations

5401 College Blvd
Ste 100
Leawood, KS 66211
Phone (913) 677-3113

8801 Monrovia St
Ste 200
Lenexa, KS 66215

9119 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 677-3113

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1720764178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11106 W 144TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218052",
            "telephone_number": "402-649-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11106 W 144TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662218052",
            "telephone_number": "402-649-0254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9119 W 74th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662042229",
            "country_code": "US",
            "telephone_number": "913-677-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAUTERKUS",
        "first_name": "BRIGIT",
        "middle_name": "GWENDELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "F06230250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.