Individual provider Active NPI

Brandi Lynn Erickson, NP

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1891412938
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5381443081 Issued in KS
Practice address
3705 N 112TH St
Kansas City, KS 66109-3437
Phone
(913) 378-6240
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5381443081 KS Primary

Addresses

Primary practice location

3705 N 112TH St
Kansas City, KS 66109-3437

Mailing address

3705 N 112TH St
Kansas City, KS 66109-3437
Phone (913) 378-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230114000186 KS Practitioner - Nurse Practitioner 9830560697 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Mar 1, 2025 Accepting new patients
Lifeworks Integrative Health LLC CurrentSince Dec 6, 2022 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

15604 Pinehurst Dr
Ste 2
Basehor, KS 66007
Phone (913) 728-2200

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

19701 W 65th Ter
Shawnee, KS 66218
Phone (913) 270-0469

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1891412938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N 112TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093437",
            "telephone_number": "913-378-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N 112TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661093437",
            "telephone_number": "913-378-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BRANDI",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5381443081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.