Individual provider Active NPI

Andrea Lynn Kevresian, FNP-C

  • Family Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1730833112
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80725-101 Issued in KS
Practice address
1901 W Kansas St
Liberty, MO 64068-2060
Phone
(816) 781-0035
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 53-80725-101 KS Primary

Addresses

Primary practice location

1901 W Kansas St
Liberty, MO 64068-2060

Mailing address

1901 W Kansas St
Liberty, MO 64068-2060
Phone (816) 781-0035

Other names 1

  • Andrea Lynn Talley Former name

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
I20220309003165 KS Practitioner - Nurse Practitioner 1456745421 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-8787

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
80.74
Improvement activities
40
Cost
78.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-80725-101KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince May 16, 2024 Accepting new patients
Sunflower State Infusion Clinic CurrentSince Feb 2, 2026 Accepting new patients
KC Hospitalists, P.a. CurrentSince Feb 20, 2025 Accepting new patients
Sunflower State Infusion Clinic CurrentSince Feb 2, 2026 Accepting new patients

Locations

7400 W 132nd St
Ste 120
Overland Park, KS 66213

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

4601 W 109th St
Ste 208
Overland Park, KS 66211
Phone (785) 228-4750

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

6001 SW 6th Ave
Ste 110
Topeka, KS 66615
Phone (785) 228-4750

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1730833112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682060",
            "telephone_number": "816-781-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682060",
            "telephone_number": "816-781-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVRESIAN",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80725-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "TALLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.