Erin Colleen Brunkan
Individual provider Active NPI Nurse Practitioner · Kansas City, MO
NPI 1902174188 · NPPES record last updated Sep 30, 2016
Key facts
- NPI
- 1902174188
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2005024575 (MO)
- Practice address
- 2330 E Meyer Blvd
Suite 207
Kansas City, MO 64132-1132 - Phone
- (816) 276-9100
- Fax
- (816) 276-9101
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wound Care Plus LLC
Practice addresses (Care Compare)
11221 N Nashua Dr
Kansas City, MO 64155-1159
Phone (888) 256-3814
5211 W103Rd St
Serenity Rehabilitation and Nursing Overlan
Overland Park, KS 66207-3154
Phone (888) 256-3814
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.88 of 100
- Quality
- 69
- Improvement activities
- 40
- Cost
- 49.76
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120711000546 | MO | Practitioner - Nurse Practitioner | 4981869237 | Reassigns benefits to 2 organizations |
| I20210315001296 | KS | Practitioner - Nurse Practitioner | 4981869237 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005024575 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current |
Accepting new patients | |
| Wound Care Plus, LLC | Current |
Accepting new patients | |
| Kansas City Vascular & General Surgery Group LLC | Past | Accepting new patients |
Locations
11875 S Sunset Dr
Ste 100
Olathe, KS 66061
Phone (913) 477-8227
2515 SW Wanamaker Rd
Topeka, KS 66614
Phone (785) 271-6808
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015
Phone (888) 256-3514
2001 S Jefferson Pkwy
Harrisonville, MO 64701
Phone (816) 380-2622
4240 Blue Ridge Blvd
Ste 530
Kansas City, MO 64133
Phone (816) 291-4601
11221 N Nashua Dr
Kansas City, MO 64155
Phone (816) 734-4433
11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010
10600 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 340-6389
100 S 4th St
Ste 550
Saint Louis, MO 63102
Phone (314) 391-2626
1800 S Ingram Ave
Sedalia, MO 65301
Phone (660) 826-2300
Interoperability endpoints
- erin.brunkan@hca2.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2005024575 | MO | Yes |
Addresses
Primary practice location
2330 E Meyer Blvd
Suite 207
Kansas City, MO 64132-1132
Mailing address
2330 E Meyer Blvd
Suite 207
Kansas City, MO 64132
Phone (816) 276-9100
NPI Registry JSON
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1902174188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 E MEYER BLVD",
"address_2": "SUITE 207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64132",
"telephone_number": "816-276-9100",
"fax_number": "816-276-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 E MEYER BLVD",
"address_2": "SUITE 207",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321132",
"telephone_number": "816-276-9100",
"fax_number": "816-276-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNKAN",
"first_name": "ERIN",
"middle_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2005024575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
- Cheryl Bruner
- Michael Paul Brunette
- Joseph Gerard Brungardt
- Michele Brungardt
- Katie Danielle Bruning
- Jessica Lyn Brunkhorst
- Sarah Devlin Brunner
- Bernard Gene Bruns
- Kaylee Bruns
- Jacquelyn Bruscato
All providers in Kansas City, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.