Danielle M Bruggemann, PA-C
Individual provider Active NPI Physician Assistant · Olathe, KS
NPI 1821536772 · NPPES record last updated Jul 21, 2025
Key facts
- NPI
- 1821536772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-02634 (KS)
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 588-1227
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20230118001885 | KS | Practitioner - Physician Assistant | 9537438494 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-02634 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians, Inc. | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current |
Accepting new patients |
Locations
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-02634 | KS | Yes |
Addresses
Primary practice location
20333 W 151St St
Olathe, KS 66061-5350
Mailing address
5555 Macedonia Rd # L42
Jonesboro, AR 72401-8195
Phone (480) 231-1147
Other practice location 1
4802 E Johnson Ave
Jonesboro, AR 72401-8413
Phone (870) 936-1000
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.