Individual provider Active NPI

Jennifer Hanson, APRN

  • Family Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1932758604
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78958-041 Issued in KS
Practice address
8700 Bourgade St Ste 2
Lenexa, KS 66219-1440
Phone
(913) 676-8400
NPI assigned
Sep 5, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 53-78958-041 KS Primary

Addresses

Primary practice location

8700 Bourgade St Ste 2
Lenexa, KS 66219-1440

Mailing address

8700 Bourgade St Ste 2
Lenexa, KS 66219-1440
Phone (913) 676-8400

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
I20191104001386 KS Practitioner - Nurse Practitioner 6305178716 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-78958-041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince Oct 28, 2019 Accepting new patients
KC Bariatric, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

8700 Bourgade St
Ste 2
Lenexa, KS 66219
Phone (913) 599-5500

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

Organizations & group practices 2

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1932758604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BOURGADE ST STE 2",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191440",
            "telephone_number": "913-676-8400",
            "fax_number": "913-599-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BOURGADE ST STE 2",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191440",
            "telephone_number": "913-676-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78958-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.