Individual provider Active NPI

Rachel Elizabeth Redlin, NP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1922750546
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80921-042 Issued in KS
Practice address
12140 Nall Ave Ste 200
Overland Park, KS 66209-2507
Phone
(913) 498-7409
Fax
(913) 498-7470
NPI assigned
Jan 25, 2022
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 00000000000 MO
Nurse Practitioner 363L00000X 53-80921-042 KS Primary

Addresses

Primary practice location

12140 Nall Ave Ste 200
Overland Park, KS 66209-2507

Mailing address

12140 Nall Ave Ste 200
Overland Park, KS 66209-2507
Phone (913) 498-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220414000781 KS Practitioner - Nurse Practitioner 4789070087 Reassigns benefits to 1 organization
I20251114001210 MO Practitioner - Nurse Practitioner 4789070087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Oncology Associates LLCGroup PAC ID 3779635172, 22 clinicians

Practice addresses (Care Compare)

12140 Nall Ave
200 Menorah Medical Ctr
Overland Park, KS 66209-2507
Phone (913) 498-7409

2000 SE Blue Pkwy
Suite 240
Lees Summit, MO 64063-1045
Phone (816) 282-5821

3889 S Jackson Dr
Independence, MO 64057-1927
Phone (816) 698-8290

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-80921-042KSMDNurse Practitioner
00000000000MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Oncology Associates LLC CurrentSince May 30, 2022 Accepting new patients

Locations

12140 Nall Ave
Ste 200
Overland Park, KS 66209
Phone (913) 498-7409

3889 S Jackson Dr
Independence, MO 64057
Phone (816) 698-8290

2000 SE Blue Pkwy
Ste 240
Lees Summit, MO 64063
Phone (816) 282-5821

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

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1922750546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092507",
            "telephone_number": "913-498-7409",
            "fax_number": "913-498-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092507",
            "telephone_number": "913-498-7409",
            "fax_number": "913-498-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLIN",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "00000000000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-80921-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.