Individual provider Active NPI

Sarah Supiran

  • Family Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1740645001
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5376931041 Issued in KS
Practice address
15319 W 95TH St
Lenexa, KS 66219-1262
Phone
(913) 495-9905
NPI assigned
Dec 30, 2015
Last updated
May 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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 2015042086 MO
Family Nurse Practitioner 363LF0000X 5376931041 KS Primary

Addresses

Primary practice location

15319 W 95TH St
Lenexa, KS 66219-1262

Mailing address

15319 W 95TH St
Lenexa, KS 66219-1262
Phone (913) 495-9905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20160218001086 MO Practitioner - Nurse Practitioner 7618272378 Reassigns benefits to 2 organizations
I20180615002202 KS Practitioner - Nurse Practitioner 7618272378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians
NP Health of Mo LLCGroup PAC ID 4183047053, 17 clinicians

Practice addresses (Care Compare)

1010 E St
Tonganoxie, KS 66086-9557
Phone (913) 369-8705

128 N Hardesty Ave
Kansas City, MO 64123-1404
Phone (816) 241-2020

1501 SW 3Rd St
Lee's Summit Pointe Health and Reha
Lees Summit, MO 64081-2424
Phone (816) 525-6300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5376931041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NP Health of Mo LLC CurrentSince Jun 1, 2023 Accepting new patients
Applebaum Physiatry PLLC Family CurrentSince Sep 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1010 East St
Tonganoxie, KS 66086
Phone (913) 369-8705

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

128 N Hardesty Ave
Kansas City, MO 64123
Phone (816) 241-2020

1501 SW 3rd St
Lees Summit, MO 64081
Phone (615) 497-7460

600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1740645001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15319 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191262",
            "telephone_number": "913-495-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15319 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191262",
            "telephone_number": "913-495-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPIRAN",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015042086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376931041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.