MEDICARE: EVEREST PRIMARY CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1679401327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVEREST PRIMARY CARE LLC

Provider Business Mailing Address
First Line	:	5775 NW 64TH TER STE 203
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3980
Country	:	US
Telephone Number	:	816-371-8677
Fax Number	:

Provider Business Practice Location Address
First Line	:	5775 NW 64TH TER STE 203
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3980
Country	:	US
Telephone Number	:	816-371-8677
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MISS ANN BRUER
Credential	:	APRN, FNP-C
Telephone Number	:	816-371-8677

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	06/02/2026

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Directions to “EVEREST PRIMARY CARE LLC ” Practice Location

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