Individual provider Active NPI

Brent Jordan Miller, APRN, FNP-C

  • Family Nurse Practitioner
  • Raytown, MO
National Provider Identifier
1871946160
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016019762 Issued in MO
Practice address
9400 East 350 Highway
Raytown, MO 64133
Phone
(816) 251-5700
NPI assigned
Jul 21, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016019762 MO Primary
Family Nurse Practitioner 363LF0000X 53-77307-021 KS

Addresses

Primary practice location

9400 East 350 Highway
Raytown, MO 64133

Mailing address

8312 Hedges Ave
Raytown, MO 64138-3440
Phone (816) 316-9835

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
I20160727002239 MO Practitioner - Nurse Practitioner 0345533360 Reassigns benefits to 1 organization
I20160803002131 KS Practitioner - Nurse Practitioner 0345533360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
Lee's Summit, MO 64086-6001

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630

4321 Washington
Kansas City, MO 64111-5928

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-77307-021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Sep 15, 2020 Accepting new patients
Saint Luke's Neighborhood Clinics, LLC Past Accepting new patients

Locations

10544 Parallel Pkwy
Kansas City, KS 66109
Phone (844) 285-1005

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

12541 Foster St
Ste 300
Overland Park, KS 66213
Phone (913) 317-3200

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

8501 W 95th St
Overland Park, KS 66212
Phone (913) 323-8880

8501 W 95th St
#1
Overland Park, KS 66212
Phone (913) 323-8880

13200 State Line Rd
Shawnee Mission, KS 66209
Phone (913) 222-8380

1307 E North Ave
Belton, MO 64012
Phone (816) 251-5765

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

2703 Running Horse Rd
Platte City, MO 64079
Phone (816) 858-3250

9400 E State Route 350
Raytown, MO 64133
Phone (816) 251-5700

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

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.

Hospital & facility affiliations 4

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1871946160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 HEDGES AVE",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641383440",
            "telephone_number": "816-316-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 EAST 350 HIGHWAY",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "64133",
            "telephone_number": "816-251-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BRENT",
        "middle_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016019762",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-77307-021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

Verify at the official NPI Registry.