NPIMap

Individual provider Active NPI

Jordan Myhre, M.D.

  • Surgery Physician
  • Liberty, MO
National Provider Identifier
1982068623
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2021028178 Issued in MO
Practice address
2521 Glenn Hendren Dr Ste 108
Liberty, MO 64068-3388
Phone
(167) 813-5158
NPI assigned
Apr 8, 2016
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2021028178 MO Primary

Addresses

Primary practice location

2521 Glenn Hendren Dr Ste 108
Liberty, MO 64068-3388

Mailing address

2521 Glenn Hendren Dr
Liberty, MO 64068-3388

Other identifiers 1

IdentifierTypeStateIssuer
2021028178OtherMOLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728000906 MO Practitioner - General Surgery 5193017747 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 108
Liberty, MO 64068-3388
Phone (816) 781-3515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021028178MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Aug 23, 2021 Accepting new patients
New Liberty Hospital Corporation CurrentSince Aug 23, 2021 Accepting new patients
Excelsior Springs City Hospital CurrentSince Feb 7, 2025 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Jan 2, 2026 Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

411 N Pennsylvania Ave
Lawson, MO 64062
Phone (816) 296-3862

2521 Glenn Hendren Dr
Ste 108
Liberty, MO 64068
Phone (816) 781-3515

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

Interoperability endpoints

  • Direct secure messaging: jordan.myrhemd.p6@direct.nlhc.nextgenshare.com

Organizations & group practices 8

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 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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1982068623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR STE 108",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "167-813-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYHRE",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2021028178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2021028178",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.