Individual provider Active NPI

Emilee Bejarano, MSN, APRN, AGPCNP-C

  • Gerontology Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1760219901
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2024035796 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone
(816) 472-5157
Fax
(816) 472-7201
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2024035796 MO
Gerontology Nurse Practitioner 363LG0600X 2024035796 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276

Mailing address

9411 N Oak Trfy Ste LL1
Kansas City, MO 64155-2262
Phone (816) 691-1655

Other practice location 1

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

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
I20240927002556 MO Practitioner - Nurse Practitioner 6800327180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024035796MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Oct 14, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Oct 14, 2024 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

9411 N Oak Trfy
Kansas City, MO 64155
Phone (816) 453-4000

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

2790 Clay Edwards Dr
Ste 1235
North Kansas City, MO 64116
Phone (816) 472-5157

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.

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": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1760219901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 N OAK TRFY STE LL1",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552262",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 1235",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEJARANO",
        "first_name": "EMILEE",
        "credential": "MSN, APRN, AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024035796",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2024035796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.