Individual provider Active NPI

Brenda Jean Leeson

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1831723311
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020003744 Issued in MO
Practice address
8951 State Line Rd
Kansas City, MO 64114-3231
Phone
(816) 443-0089
NPI assigned
Feb 24, 2020
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020003744 MO Primary

Addresses

Primary practice location

8951 State Line Rd
Kansas City, MO 64114-3231

Mailing address

7839 N Lawn Ave
Kansas City, MO 64119-7631
Phone (816) 517-4339

Other names 1

  • Brenda Jean Marlow Former name

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
I20200327001507 MO Practitioner - Nurse Practitioner 0648609537 Reassigns benefits to 3 organizations
I20220405001771 KS Practitioner - Nurse Practitioner 0648609537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

14721 W 151St St
Olathe, KS 66062-3108
Phone (913) 361-7090

8951 State Line Rd
Kansas City, MO 64114-3231
Phone (913) 305-3167

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020003744MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Apr 28, 2022 Accepting new patients
Urgent Care Express LLC CurrentSince Feb 15, 2020 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Feb 25, 2022 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4776 Verona Dr
Saint Joseph, MO 64506
Phone (816) 396-9500

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1831723311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7839 N LAWN AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641197631",
            "telephone_number": "816-517-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143231",
            "telephone_number": "816-443-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEESON",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020003744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MARLOW",
            "middle_name": "JEAN",
            "credential": "MARLOW, KROUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.