Individual provider Active NPI

Ellen D Juvet, NP

  • Adult Health Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1750394789
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
145659 Issued in MO
Practice address
3901 Rainbow Blvd
Ms 3021
Kansas City, KS 66160-3498
Phone
(913) 588-6122
NPI assigned
Aug 14, 2006
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 145659 MO Primary
Neuroscience Registered Nurse 163WN0800X F303664 / 505421 NY

Addresses

Primary practice location

3901 Rainbow Blvd
Ms 3021
Kansas City, KS 66160-3498

Mailing address

3901 Rainbow Blvd
Ms 3021
Kansas City, KS 66160-3498
Phone (913) 588-6122

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
I20080109000772 MO Practitioner - Nurse Practitioner 7315044351 Reassigns benefits to 1 organization
I20110211001006 KS Practitioner - Nurse Practitioner 7315044351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303664 / 505421NYMDNeuroscience Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
New Liberty Hospital Coporation CurrentSince Jan 20, 2020 Accepting new patients
New Liberty Hospital Corporation CurrentSince Jan 20, 2020 Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 11, 2011 Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 11, 2011 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
#3021
Kansas City, KS 66160
Phone (913) 588-0356

3901 Rainbow Blvd
Ste G600
Kansas City, KS 66160
Phone (913) 588-9600

10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2529 Glenn Hendren Dr
Ste 102
Liberty, MO 64068
Phone (816) 407-2028

Organizations & group practices 7

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1750394789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 3021",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661603498",
            "telephone_number": "913-588-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 3021",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661603498",
            "telephone_number": "913-588-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUVET",
        "first_name": "ELLEN",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "145659",
            "primary": true
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "NY",
            "license": "F303664  /  505421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.