Organization Active NPI

Careconnext LLC

  • Psychiatry Physician
  • Overland Park, KS
National Provider Identifier
1881285740
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CARECONNEXT LLC
Practice address
8400 W 110TH St Ste 270
Overland Park, KS 66210-2468
Phone
(913) 209-1227
NPI assigned
Feb 2, 2021
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Shane Alexander Hills
Title
Treasurer
Phone
(913) 209-1227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

8400 W 110TH St Ste 270
Overland Park, KS 66210-2468

Mailing address

5836 Edgewater Dr
Overland Park, KS 66223-1179
Phone (913) 209-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210603000680 KS Part B Supplier - Clinic/Group Practice 0345649893 Receives reassigned benefits from 14 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1881285740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 EDGEWATER DR",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231179",
            "telephone_number": "913-209-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 W 110TH ST STE 270",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102468",
            "telephone_number": "913-209-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECONNEXT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "913-209-1227"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.