Jennifer Ann Grant, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012008574 Issued in MO

Practice address

4741 S Arrowhead Dr Suite 13
Independence, MO 64055

Phone

(816) 795-6000

Fax

(816) 795-6064

NPI assigned

Feb 14, 2012

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Jennifer Ann Bosley Former name

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

Specialty

Nurse Practitioner

Education

University of Missouri, Kansas City, School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agewell GeriatricsGroup PAC ID 0244681633, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15764/brand/1/csg/1/fhir/r4

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.

• Agewell Geriatrics

  • Geriatric Medicine (Family Medicine) Physician
  • Bates City, MO
  • NPI 1447027362

  KS

  Medicare reassignment Care Compare group NPD
• Urgent Care of Kansas City LLC

  • Urgent Care Clinic/Center
  • Independence, MO
  • NPI 1427143171
  Medicare reassignment NPD
• KC Geriatrics LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1457956690
  NPD
• Mobile Wound Solutions, LLC

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1700181682
  NPD (past)
• New Liberty Hospital Corporation

  dba The Liberty Clinic

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1023360690
  NPD (past)

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1780957290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 SUNSET DR",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "64060",
            "telephone_number": "816-341-3132",
            "fax_number": "660-493-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S ARROWHEAD DR SUITE 13",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-795-6000",
            "fax_number": "816-795-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-117878-121",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001016497",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75607-121",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012008574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOSLEY",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelley Graddy
• Patick Grady, DDS
• Ashley Adelle Graffam Fizer, L.M.S.W.
• Amy Leann Gragg, MSW
• Sophie Granger, CGC
• Gray Chiropractic, L.L.C
• James Christopher Gray, D.C.
• Jane M Gray, MSW, LCSW
• Peter M Gray, DDS
• Shalaunda K Gray, M.D.

• Family Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.