Individual provider Active NPI

Paul Robert Winn, NP

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1912347600
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020028154 Issued in MO
Practice address
2330 E Meyer Blvd Ste T503
Kansas City, MO 64132-1152
Phone
(816) 276-9050
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209011793 IL
Nurse Practitioner 363L00000X 2020028154 MO Primary

Addresses

Primary practice location

2330 E Meyer Blvd Ste T503
Kansas City, MO 64132-1152

Mailing address

2330 E Meyer Blvd Ste T503
Kansas City, MO 64132-1152
Phone (816) 276-9050

Other practice location 1

611 W. Park St.
Gastro
Urbana, IL 61801-2500
Phone (217) 383-3610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MO, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170620003198 OR Practitioner - Nurse Practitioner 8224272158 Reassigns benefits to 4 organizations
I20210602002949 MO Practitioner - Nurse Practitioner 8224272158 Reassigns benefits to 2 organizations
I20221122001340 KS Practitioner - Nurse Practitioner 8224272158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians
Emergency Medicine Services of KS PAGroup PAC ID 4385009695, 34 clinicians

Practice addresses (Care Compare)

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321

5721 W 119TH St
Menorah Medical Center
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
62.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Aug 28, 2023 Accepting new patients
Apogee Medical Group PC CurrentSince May 2, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 10, 2017 Accepting new patients
Emergency Medicine Services of KS, PA CurrentSince Jul 29, 2023 Accepting new patients
Apogee Medical Group PC CurrentSince May 2, 2023 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince May 1, 2023 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: pwinn205116@direct.lhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1912347600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD STE T503",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321152",
            "telephone_number": "816-276-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD STE T503",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321152",
            "telephone_number": "816-276-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W. Park St.",
            "address_2": "Gastro",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012500",
            "country_code": "US",
            "telephone_number": "217-383-3610",
            "fax_number": "217-326-2704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINN",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209011793",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020028154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.