Individual provider Active NPI

Dakota Bain, APRN

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1932965738
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-82761-042 Issued in KS
Practice address
6028 Longview Rd
Shawnee, KS 66218-9253
Phone
(913) 940-5195
NPI assigned
Feb 28, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 53-82761-042 KS Primary

Addresses

Primary practice location

6028 Longview Rd
Shawnee, KS 66218-9253

Mailing address

6028 Longview Rd
Shawnee, KS 66218-9253
Phone (913) 940-5195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20240805002582 MO Practitioner - Nurse Practitioner 7315484631 Reassigns benefits to 2 organizations
I20260218003345 KS Practitioner - Nurse Practitioner 7315484631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6028 Longview Rd
Shawnee, KS 66218-9253

909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82761-042KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health Care Services PA CurrentSince Jun 1, 2024 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Feb 23, 2026 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Feb 23, 2026 Accepting new patients

Locations

11111 Nall Ave
Ste 103
Overland Park, KS 66211
Phone (888) 778-9471

700 SW Jackson St
Ste 100
Topeka, KS 66603

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

222 E Dunklin St
Ste 102
Jefferson Cty, MO 65101

2160 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 554-0101

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1932965738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 LONGVIEW RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189253",
            "telephone_number": "913-940-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 LONGVIEW RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189253",
            "telephone_number": "913-940-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "DAKOTA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82761-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.