ALIVE FAMILY PSYCHIATRY
NPI 1336837061
Nurse Practitioner - Psychiatric/Mental Health in Leavenworth, KS

Active since May 01, 2023
3515 S 4TH ST STE 102, LEAVENWORTH, KS 66048(816) 845-8550(949) 440-7590 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alive Family Psychiatry NPPES

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

ALIVE FAMILY PSYCHIATRY (NPI 1336837061) is a healthcare organization registered as a psychiatric/mental health in Leavenworth, Kansas and active in the NPI registry since May 2023. The organization lists Julia Fields, Provider, as its authorized official.

NPPES Registry Identity

NPI1336837061
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameALIVE FAMILY PSYCHIATRY
Location Address3515 S 4TH ST STE 102Leavenworth, KS 66048-5079
Mailing Address3515 S 4th St Ste 102Leavenworth, KS 66048-5079 · (816) 845-8550
Fax(949) 440-7590
Organization SubpartNo
Authorized OfficialJulia FieldsProvider · (816) 845-8550
Enumeration DateMay 1, 2023
NPPES CertifiedApril 30, 2023
✔ NPI 1336837061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3515 S 4TH ST STE 102, Leavenworth, KS 66048

Other Names 1

Doing Business AsAlive Family Psychiatry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alive Family Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alive Family Psychiatry, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1093750044
3515 S 4TH ST STE 102
Leavenworth, KS 66048
(816) 845-8550
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821688136
1013 POTTAWATOMIE ST
Leavenworth, KS 66048
(405) 474-7420
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1962458182
8101 COLLEGE BLVD STE 100
Overland Park, KS 66210
(833) 351-8255
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alive Family Psychiatry's NPI number?

The NPI number for Alive Family Psychiatry is 1336837061. It was assigned to this organization in the NPPES registry on May 1, 2023.

Where is Alive Family Psychiatry located?

Alive Family Psychiatry is located at 3515 S 4th St Ste 102, Leavenworth, KS 66048. The listed phone number is (816) 845-8550.

What is Alive Family Psychiatry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Alive Family Psychiatry enrolled in Medicare?

Yes. Alive Family Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alive Family Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Alive Family Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alive Family Psychiatry was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.