Shawnee Mission Medical Center Inc
Organization Active NPI Family Medicine Physician · Merriam, KS
NPI 1992735690 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1992735690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SHAWNEE MISSION MEDICAL CENTER INC
- Practice address
- 9100 W 74TH St
Merriam, KS 66204-4004 - Phone
- (913) 676-2000
- NPI assigned
- Jul 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SHAWNEE MISSION MEDICAL CENTER INC
Authorized official
- Name
- Alan Verrill
- Title
- Ceo
- Phone
- (913) 676-2153
Other NPIs on the same Medicare enrollment 2
Member of 1
Practitioners 659
-
Anthony A Albracht, M.D.
-
Rebecca Andrews, APRN FNP-C
-
Katherine Arner, DNP
-
Josel Balino, MSN, APRN, FNP-C
-
Madison Nicole Bartlett, APRN
-
Elizabeth Ann Beal, M.D.
-
Kayla Beashore, DO
-
Anna Sushila Bhatnagar, APRN
-
Brandon Michael Bowers, M.D.
-
Julie D Brack, M.D.
-
Jennifer L Brown, MD
-
Tamela R Brown, APRN
-
Lynda W Brumley, MD
-
Alexa N Byrd, APRN
-
Abigail Mae Campbell, PA-C
-
Janae Carlson, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050701000310 | KS | Part B Supplier - Clinic/Group Practice | 9537119037 |
Receives reassigned benefits from 398 practitioners 3 other NPIs on this enrollment Practice locations: Paola, KS; Spring Hill, KS; Prairie Village, KS; Overland Park, KS; Ottawa, KS; Merriam, KS; Lenexa, KS; Lansing, KS… |
| O20251202003044 | MO | Part B Supplier - Clinic/Group Practice | 9537119037 |
Receives reassigned benefits from 3 practitioners Practice locations: Kansas City, MO |
National Provider Directory
- Part of
- Mid America Physicians
Locations (25 of 45)
3030 E Semoran Blvd
Ste 258
Apopka, FL 32703
Phone (407) 671-3634
15977 Coll Ctr Dr
Chicago, IL 60693
8960 Commerce Dr
Ste 4E
De Soto, KS 66018
Phone (913) 789-3961
2040 Hutton Rd
Ste 340
Kansas City, KS 66109
Phone (913) 632-9400
3601 S 4th St
Ste 4
Leavenworth, KS 66048
Phone (913) 632-9940
9000 Park St
Ste 100
Lenexa, KS 66215
Phone (913) 374-0218
8700 Bourgade St
Ste 2
Lenexa, KS 66219
Phone (913) 599-5500
8804 Renner Blvd
Lenexa, KS 66219
Phone (913) 676-8400
7450 Kessler Ln
Ste 300
Merriam, KS 66204
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
7301 E Frontage Rd
Ste 101
Merriam, KS 66204
15710 W 135th St
Olathe, KS 66062
6240 W 135th St
Ste 100
Overland Park, KS 66223
7840 W 165th St
Ste 21
Overland Park, KS 66223
7450 Kessler Ln
Ste 205
Overland Park, KS 66204
7615 Frontage Rd Ste 206
Overland Park, KS 66204
7025 College Blvd
Ste 200
Overland Park, KS 66211
Phone (913) 338-4515
7025 College Blvd
Ste 300
Overland Park, KS 66211
Phone (913) 632-9400
9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230
12345 College Blvd
Rm 312
Overland Park, KS 66210
7840 W 165th St
Ste 330
Overland Park, KS 66223
Phone (913) 373-0120
8800 W 75th St
Ste 141
Shawnee Mission, KS 66204
9301 W 74th St
Ste 130
Shawnee Mission, KS 66204
Phone (913) 632-9130
9119 W 74th St
Ste 268
Shawnee Msn, KS 66204
Phone (913) 491-4020
9119 W 74th St
Ste 150
Shawnee Msn, KS 66204
Phone (913) 362-5510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
208G00000X | |||
| Hospitalist Physician |
208M00000X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Primary Care Nurse Practitioner |
363LP2300X |
Addresses
Primary practice location
9100 W 74TH St
Merriam, KS 66204-4004
Mailing address
7315 E Frontage Rd Ste 222
Merriam, KS 66204-1658
Other names
- AdventHealth Medical Group
- Shawnee Mission Physicians Group
Other providers in Merriam, KS
- Michael J Shara
- Shawnee Mission Health Care, Inc
- Shawnee Mission Medical Center Inc
- Shawnee Mission Medical Center Inc
- Shawnee Mission Medical Center Inc
- Shawnee Mission Surgery Center LLC
- Kara Shelman
- Randy M Sheridan
- Shayna Sheridan
- Sheila Shipley
All providers in Merriam, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.