Individual provider Active NPI

Brett A Nolte, APRN-C

  • Adult Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1982497350
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2025018548 Issued in MO
Practice address
3406 Broadway Blvd Ste B
Kansas City, MO 64111-2767
Phone
(816) 756-5839
Fax
(816) 756-5874
NPI assigned
May 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2025018548 MO Primary

Addresses

Primary practice location

3406 Broadway Blvd Ste B
Kansas City, MO 64111-2767

Mailing address

3406 Broadway Blvd Ste B
Kansas City, MO 64111-2767
Phone (816) 756-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250924000473 MO Practitioner - Nurse Practitioner 3971008715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Family Medicine PCGroup PAC ID 2961558622, 6 clinicians

Practice addresses (Care Compare)

3406 Broadway Blvd
Suite B
Kansas City, MO 64111-2767
Phone (816) 756-5839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025018548MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Family Medicine PC CurrentSince Jun 27, 2025 Accepting new patients
Cardiorenal Vision of Missouri LLC CurrentSince Jun 15, 2025 Accepting new patients
Liveactive Multispecialty Physician Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Liveactive Primary Care, LLC Past Accepting new patients

Locations

3406 Broadway Blvd
Ste B
Kansas City, MO 64111
Phone (816) 756-5839

500 NW 68th St
Kansas City, MO 64118
Phone (816) 420-3600

Interoperability endpoints

  • Direct secure messaging: brett.nolte@mfm.directbygreenway.com
  • Direct secure messaging: brett.nolte@1019614135975940.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1982497350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BROADWAY BLVD STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112767",
            "telephone_number": "816-756-5839",
            "fax_number": "816-756-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BROADWAY BLVD STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112767",
            "telephone_number": "816-756-5839",
            "fax_number": "816-756-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTE",
        "first_name": "BRETT",
        "middle_name": "A",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2025018548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.