Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brianna Frederick, APRNAGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1619837689

Brianna Frederick, APRNAGNP-C is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2018, 8 years ago. Practices with Summit Skin Care Incorporated, a 5-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
8
Licensed in
KS, MO
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337
Phone: (816) 533-4398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2025049901 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 13144754042 (KS)

Record details

NPI number1619837689
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNAGNP-C
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Summit Skin Care Incorporated — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lees Summit