Gregory Alan Anderson, DNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Olathe, KS
NPI 1780186908 · NPPES record last updated Mar 3, 2018
Key facts
- NPI
- 1780186908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-78057-051 (KS)
- Practice address
- 13045 S Mur Len Rd
Olathe, KS 66062-1230 - Phone
- (913) 782-2974
- NPI assigned
- Mar 3, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jayhawk Primary Care Inc
Practice addresses (Care Compare)
15435 W 134TH PL
Suite 103
Olathe, KS 66062-6135
Phone (913) 588-1227
16538 W 159TH Ter
Olathe, KS 66062-3924
Phone (913) 588-1227
29475 W 189TH Ter
Gardner, KS 66030-9428
Phone (913) 588-1227
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400
Hospital & facility affiliations
- University of Kansas Health System Olathe Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.74 of 100
- Quality
- 16.27
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 66.19
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.5 of 100
- Quality
- 79
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180326000654 | KS | Practitioner - Nurse Practitioner | 7810259157 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78057-051 | KS | MD | Family Nurse Practitioner |
| 2018004093 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayhawk Primary Care Inc | Current | Accepting new patients | |
| Jayhawk Primary Care Inc | Current |
Accepting new patients | |
| Jayhawk Primary Care Inc | Past | Accepting new patients |
Locations
29475 W 189th Ter
Gardner, KS 66030
Phone (913) 445-5577
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
23450 College Blvd
Olathe, KS 66061
Phone (913) 355-7788
15435 W 134th Pl
Ste 103
Olathe, KS 66062
Phone (913) 355-7515
16538 W 159th Ter
Olathe, KS 66062
Phone (913) 355-8660
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018004093 | MO | |
| Family Nurse Practitioner | 363LF0000X | 53-78057-051 | KS | Yes |
Addresses
Primary practice location
13045 S Mur Len Rd
Olathe, KS 66062-1230
Mailing address
5346 Birch St
Roeland Park, KS 66205-2148
Phone (913) 579-2662
Other providers in Olathe, KS
- American Current Care PA
- Anam Amin
- Janis Marie Andarde
- Chad Everette Anderson
- Craig A Anderson
- Isar Amy Anderson
- Jamie-Leigh Anderson
- Joseph Mark Anderson
- Mariah J Andrews
- Robert Andrews
All providers in Olathe, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.