Individual provider Active NPI

Patrick Gayle Jensen, FNP

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1831657527
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019008100 Issued in MO
Practice address
2801 NW Castle Dr
Blue Springs, MO 64015-2881
Phone
(602) 463-2601
NPI assigned
Mar 12, 2019
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 2019008100 MO Primary

Addresses

Primary practice location

2801 NW Castle Dr
Blue Springs, MO 64015-2881

Mailing address

3600 NE Ralph Powell Rd Ste B
Lees Summit, MO 64064-2369

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190613000291 MO Practitioner - Nurse Practitioner 7315270956 Reassigns benefits to 1 organization
I20190613001085 KS Practitioner - Nurse Practitioner 7315270956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivxpress IncGroup PAC ID 1850530346, 11 clinicians

Practice addresses (Care Compare)

1201 NW Briarcliff Pkwy
125 Briarcliff
Kansas City, MO 64116-1774
Phone (913) 948-2020

13344 Metcalf Ave
Overland Park, KS 66213-2804
Phone (913) 948-2020

22223 W 66TH St
Shawnee, KS 66226-3522
Phone (913) 224-0030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivxpress Inc CurrentSince Jun 1, 2019 Accepting new patients
Infusion Express of Kansas LLC PastSince Jun 1, 2019 Accepting new patients

Locations

13340 Metcalf Ave
Overland Park, KS 66213
Phone (913) 851-2739

13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733

22223 W 66th St
Shawnee, KS 66226
Phone (913) 224-0030

1201 NW Briarcliff Pkwy
Ste 125
Kansas City, MO 64116
Phone (816) 256-5346

1108 E Patterson St
Ste 10
Kirksville, MO 63501
Phone (660) 956-0487

3600 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 272-0174

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1831657527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW CASTLE DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640152881",
            "telephone_number": "602-463-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "PATRICK",
        "middle_name": "GAYLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019008100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.