NPI 1073055463 · live from the CMS NPI Registry
Coreen Bisel
Nurse Practitioner, Pediatrics in Kansas City, MO. National Provider Identifier 1073055463, active.
NPI record
| NPI | 1073055463 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2401 Gillham Rd, Kansas City, MO 64108 |
| Practice phone | 816-234-3000 |
| Mailing address | 2401 Gillham Rd, Attn Provider Enrollment Dept, Kansas City, MO 64108 |
| Enumerated | November 16, 2016 |
| Last updated | June 24, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2017040765 (MO) |
| Nurse Practitioner | 363L00000X | 77500 (KS) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 77500 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.