EMERGENCY MEDICINE SERVICES OF MO, LLC
NPI 1023715182
Emergency Medicine in Independence, MO

Q: What is Emergency Medicine Services Of Mo, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since February 09, 2023

19600 E 39TH ST S, INDEPENDENCE, MO 64057(816) 698-7000 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Nov 13, 2025, Jun 14, 2023 and 2 more (5 updates tracked since 2023).

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About Emergency Medicine Services Of Mo, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERGENCY MEDICINE SERVICES OF MO, LLC (NPI 1023715182) is a healthcare organization registered as an emergency medicine in Independence, Missouri and active in the NPI registry since February 2023. The organization lists Vyvyan Derouen, President, as its authorized official.

NPPES Registry Identity

NPI1023715182

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameEMERGENCY MEDICINE SERVICES OF MO, LLC

Location Address19600 E 39TH ST SIndependence, MO 64057-2301

Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406

Phone(816) 698-7000

Organization SubpartNo

Authorized OfficialVyvyan DerouenPresident · (615) 376-5076

Enumeration DateFebruary 9, 2023

Last NPPES UpdateNovember 20, 20255 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1023715182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

19600 E 39TH ST S, Independence, MO 64057

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emergency Medicine Services Of Mo, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

181

Medicare enrollment records show 181 clinicians reassign Medicare billing to Emergency Medicine Services Of Mo, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine99

Nurse Practitioner58

Family Practice17

Internal Medicine6

Hospice/Palliative Care1

Nearest to this location (20)

See all 181

Shannon Buslepp, FNP-BC

Nurse Practitioner

NPI 1730967597