Individual provider Active NPI

Jillian Rachelle Richard, APRN, FNP-C, BC

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1992747844
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45793 Issued in KS
Practice address
12330 Metcalf Ave
Ste. 500a
Overland Park, KS 66213-1324
Phone
(913) 317-3170
Fax
(913) 317-3192
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2002026672 MO
Family Nurse Practitioner 363LF0000X 45793 KS Primary

Addresses

Primary practice location

12330 Metcalf Ave
Ste. 500a
Overland Park, KS 66213-1324

Mailing address

12330 Metcalf Ave
Ste. 500a
Overland Park, KS 66213-1324
Phone (913) 317-3170

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
I20070531000200 MO Practitioner - Nurse Practitioner 5395843239 Reassigns benefits to 1 organization
I20090408000053 KS Practitioner - Nurse Practitioner 5395843239

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton County Memorial HospitalGroup PAC ID 2365333234, 19 clinicians
CBCH LLCGroup PAC ID 6406116797, 19 clinicians
Cox Barton County HospitalGroup PAC ID 8820329782, shared by 5 NPIs, 30 clinicians

Practice addresses (Care Compare)

29 NW 1St LN
Lamar, MO 64759-8105

Hospital & facility affiliations

  • Cox Barton County Hospital Hospital, Lamar, MO, CCN 261325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45793KSMDFamily Nurse Practitioner
2002026672MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cox Barton County Hospital CurrentSince Aug 1, 2021 Accepting new patients
Cox Barton County Hospital CurrentSince Aug 1, 2021 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Barton County Memorial Hospital Past Accepting new patients

Locations

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

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.

Hospital & facility affiliations 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1992747844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "STE. 500A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-317-3170",
            "fax_number": "913-317-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "STE. 500A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-317-3170",
            "fax_number": "913-317-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD",
        "first_name": "JILLIAN",
        "middle_name": "RACHELLE",
        "credential": "APRN, FNP-C, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2002026672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.