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RENUVA BACK AND PAIN CENTER
NPI 1801155486
Nurse Practitioner in Overland Park, KS

Active since May 16, 2012
4400 COLLEGE BLVD STE 150, OVERLAND PARK, KS 66211(913) 667-2298 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renuva Back And Pain Center NPPES

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

RENUVA BACK AND PAIN CENTER (NPI 1801155486) is a healthcare organization registered as a nurse practitioner in Overland Park, Kansas and active in the NPI registry since May 2012. The organization lists Michael Green, Associate D.c., as its authorized official.

NPPES Registry Identity

NPI1801155486
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRENUVA HEALTH LLC
Location Address4400 COLLEGE BLVD STE 150Overland Park, KS 66211-2326
Mailing Address4400 College Blvd Ste 150Overland Park, KS 66211-2326 · (913) 667-2298 · Fax (816) 525-9052
Phone(913) 667-2298
Organization SubpartNo
Authorized OfficialMichael GreenAssociate D.c. · (913) 667-2829
Enumeration DateMay 16, 2012
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1801155486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
4400 COLLEGE BLVD STE 150, Overland Park, KS 66211
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Other Names 1

Doing Business AsRenuva Back And Pain Center

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

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Renuva Back And Pain Centers carries, from the Medicare DMEPOS supplier directory.

Renuva Back And Pain Centers

DMEPOS supplier · Overland Park, KSOperated by Renuva Health, LLC
⋮

Does not accept Medicare assignment

Renuva Back And Pain Centers has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)34357994
Medicare Participant SinceOctober 15, 2017
Supplier Location4400 College Blvd Ste 150Overland Park, KS 66211
Phone(913) 416-1899
Provider TypeNurse Practitioner

Medicare Product Categories

Contracture Treatment Devices: Dynamic Splint
Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL DAVID RILEY
Chiropractor (Internist)
4400 COLLEGE BLVD STE 150
OVERLAND PARK, KS 66211
Johnson County (913) 667-2298

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 Renuva Health LLC's NPI number?

The NPI number for Renuva Health LLC is 1801155486. It was assigned to this organization in the NPPES registry on May 16, 2012. The provider is doing business as Renuva Back And Pain Center.

Where is Renuva Health LLC located?

Renuva Health LLC is located at 4400 College Blvd Ste 150, Overland Park, KS 66211. The listed phone number is (913) 667-2298.

What is Renuva Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Renuva Health LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Renuva Back And Pain Centers does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Renuva Health LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.