Individual provider Active NPI

Paula M Brown, DNP, APRN-BC

  • Family Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1891876900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110740 Issued in MO
Practice address
2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Phone
(816) 407-4555
Fax
(816) 781-6973
NPI assigned
Oct 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 110740 MO Primary

Addresses

Primary practice location

2609 Glenn Hendren Dr
Liberty, MO 64068-3313

Mailing address

2609 Glenn Hendren Dr
Liberty, MO 64068-3313
Phone (816) 407-4555

Other practice location 1

9151 NE 81st Ter
Suite 105
Kansas City, MO 64158-1294
Phone (816) 994-8787

Other identifiers 5

IdentifierTypeStateIssuer
100382040AMedicaidKS
424867026MedicaidMO
28822115OtherMOBCBS
208978700MedicaidMO
500016181OtherMORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20051012001134 MO Practitioner - Nurse Practitioner 4486679081 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110740MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Hospital Emergency Medicine Physicians, LLC CurrentSince Apr 17, 2020 Accepting new patients
Liberty Hospital Urgent Care, LLC CurrentSince Aug 14, 2017 Accepting new patients
New Liberty Hospital Coporation PastSince Nov 17, 2024 Accepting new patients
Olathe Health Physicians, Inc. Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

8300 N Church Rd
Kansas City, MO 64158
Phone (816) 407-2300

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891876900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683313",
            "telephone_number": "816-407-4555",
            "fax_number": "816-781-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683313",
            "telephone_number": "816-407-4555",
            "fax_number": "816-781-6973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9151 NE 81st Ter",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641581294",
            "country_code": "US",
            "telephone_number": "816-994-8787",
            "fax_number": "816-994-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAULA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "110740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100382040A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424867026",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28822115",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208978700",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500016181",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.