Individual provider Active NPI

Amy Brendecke Smith, FNP-BC

  • Family Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1821868639
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023044242 Issued in MO
Practice address
3828 SW Harbor Cir
Lees Summit, MO 64082-4665
Phone
(816) 805-2513
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023044242 MO Primary

Addresses

Primary practice location

3828 SW Harbor Cir
Lees Summit, MO 64082-4665

Mailing address

4963 W 135TH St
Leawood, KS 66224-6901
Phone (913) 814-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3033 W President George Bush Hwy
Suite 100
Plano, TX 75075-5885

3033 W President George Bush Hwy 100
Plano, TX 75075-5885

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince May 12, 2025 Accepting new patients
Innovative Infusions, LLC Current Accepting new patients
Innovative Infusions, LLC CurrentSince May 12, 2025 Accepting new patients
Innovative Infusions, LLC Past Accepting new patients

Locations

20120 E Jackson Dr
Ste C
Independence, MO 64057
Phone (816) 756-2791

8432 Ward Pkwy
Kansas City, MO 64114
Phone (816) 912-4150

8434 Ward Pkwy
Kansas City, MO 64114
Phone (816) 237-1926

9560 Watson Rd
Ste J
Saint Louis, MO 63126
Phone (314) 788-5182

12669 Olive Blvd
#A
Saint Louis, MO 63141
Phone (314) 710-5021

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

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.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1821868639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 W 135TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662246901",
            "telephone_number": "913-814-8222",
            "fax_number": "800-866-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 SW HARBOR CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824665",
            "telephone_number": "816-805-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMY",
        "middle_name": "BRENDECKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023044242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.