Active NPI
Brent Jordan Miller, APRN, FNP-C
- Family Nurse Practitioner
- Raytown, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016019762
- Practice address
- 9400 East 350 Highway
Raytown, MO 64133 - Phone
- (816) 251-5700
- NPI assigned
- Jul 21, 2016
- Last updated
- Jul 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-77307-021 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Current | 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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS
-
- Diagnostic Radiology Physician
- Overland Park, KS
- NPI 1346783008
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.