| Mrs Pennie L Mesmer, ARNPC | |
| 
					2401 Gillham Rd, Kansas City, MO 64108  | |
| (816) 234-3000 | |
| (816) 302-9939 | 
| Full Name | Mrs Pennie L Mesmer | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 2401 Gillham Rd, Kansas City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013939982 | NPI | - | NPPES | 
| 35722017 | Other | KS | BLUE CROSS BLUE SHIELD | 
| 200354480-A | Medicaid | KS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 53-45398 (Kansas) | Secondary | 
| 363L00000X | Nurse Practitioner | 2011022888 (Missouri) | Primary | 
| Entity Name | Jayhawk Primary Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1528025053 PECOS PAC ID: 8123928900 Enrollment ID: O20050721001078  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Pennie L Mesmer, ARNPC 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 Ph: (816) 701-5200  | Mrs Pennie L Mesmer, ARNPC 2401 Gillham Rd, Kansas City, MO 64108 Ph: (816) 234-3000  | 
Natalie Christine Lickteig, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13101 State Line Rd, Kansas City, MO 64145 Phone: 816-942-2438  | |
Sean M Ryan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Blue Pkwy, Kansas City, MO 64130 Phone: 816-923-5800 Fax: 816-922-7637  | |
Jennifer Bitner, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 913-234-3000  | |
Hannah Brown,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2301 Holmes St, Kansas City, MO 64108 Phone: 816-404-4070 Fax: 816-404-4075  | |
Randyn Wertz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7130 Wornall Rd, Kansas City, MO 64114 Phone: 816-523-9355 Fax: 816-523-9358  | |
Sarah Wakat, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4330 Wornall Rd Ste 2000, Kansas City, MO 64111 Phone: 816-931-1883  | |
Scarlett Wohlleber,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4321 Washington St Ste 3000, Kansas City, MO 64111 Phone: 816-932-3100  |