Individual provider Active NPI

Matthew Alan Daniel, APRN

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1851636732
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79858-071 Issued in KS
Practice address
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone
(913) 317-7990
Fax
(913) 317-7018
NPI assigned
Dec 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5089 OR
Acute Care Nurse Practitioner 363LA2100X 53-79858-071 KS
Family Nurse Practitioner 363LF0000X 53-79858-071 KS Primary

Addresses

Primary practice location

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030

Mailing address

10995 Quivira Rd
Overland Park, KS 66210-1207
Phone (913) 339-9437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20220525000504 KS Practitioner - Nurse Practitioner 1456738830 Reassigns benefits to 1 organization
I20230227002506 MO Practitioner - Nurse Practitioner 1456738830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (913) 323-4600

4321 Washington
3000 Saint Luke'S Internal Medicine
Kansas City, MO 64111-5928
Phone (816) 932-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5089ORMDChiropractor
53-79858-071KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Mar 27, 2023 Accepting new patients
Kansas Pain Management CurrentSince May 24, 2022 Accepting new patients

Locations

4100 W 6th St
Lawrence, KS 66049

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

10995 Quivira Rd
Overland Park, KS 66210
Phone (913) 685-2211

10995 Quivira Rd
Ofc
Overland Park, KS 66210

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: mdaniel623445@direct.saint-lukes.org

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1851636732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074030",
            "telephone_number": "913-317-7990",
            "fax_number": "913-317-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5089",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-79858-071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79858-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.