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WELLSPRING REGENERATIVE HEALTH, LLC
NPI 1407681687
Nurse Practitioner - Family in Leawood, KS

Active since September 05, 2024
13160 STATE LINE RD, LEAWOOD, KS 66209(913) 270-9960(913) 400-2091 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2026, Sep 2, 2025, Sep 5, 2024 (3 updates tracked since 2024).

About Wellspring Regenerative Health, Llc NPPES

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

WELLSPRING REGENERATIVE HEALTH, LLC (NPI 1407681687) is a healthcare organization registered as a family in Leawood, Kansas and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Blue Springs and lists Anthony Breen, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1407681687
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWELLSPRING REGENERATIVE HEALTH, LLC
Location Address13160 STATE LINE RDLeawood, KS 66209-1708
Mailing Address13160 State Line RdLeawood, KS 66209-1708 · (913) 270-9960 · Fax (913) 400-2091
Phone(913) 270-9960
Fax(913) 400-2091
Organization SubpartNo
Authorized OfficialAnthony BreenNurse Practitioner · (913) 270-9960
Enumeration DateSeptember 5, 2024
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1407681687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
13160 STATE LINE RD, Leawood, KS 66209
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Secondary Practice Location 1

Location 11741 NW Burdett XingBlue Springs, MO 64015-1610 · Phone (913) 270-9960

Other Identifiers 2

Medicaid1407567068MO
Medicaid1851823694MO

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)

Wellspring Regenerative Health, Llc 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 Wellspring Regenerative Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Anthony Breen, FNP
Nurse Practitioner
NPI 1407567068
13160 STATE LINE RD
Leawood, KS 66209
(913) 270-9960
✔ PECOS✔ Accepts MedicareSame address
Amy Warren, APRN, FNP-C
Nurse Practitioner
NPI 1851823694
3801 BLUE PKWY
Kansas City, MO 64130
(816) 599-5415
✔ PECOS11 mi
Lisa Knifong, FNP-C
Nurse Practitioner
NPI 1306676127
1816 NE SPARTA DR
Blue Springs, MO 64029
(660) 287-7753
✔ PECOS✔ Accepts Medicare23 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 Wellspring Regenerative Health, LLC's NPI number?

The NPI number for Wellspring Regenerative Health, LLC is 1407681687. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Wellspring Regenerative Health, LLC located?

Wellspring Regenerative Health, LLC is located at 13160 State Line Rd, Leawood, KS 66209. The listed phone number is (913) 270-9960.

What is Wellspring Regenerative Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Wellspring Regenerative Health, LLC enrolled in Medicare?

Yes. Wellspring Regenerative Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellspring Regenerative Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Wellspring Regenerative Health, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellspring Regenerative Health, LLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.