Medbasics Missouri LLC

Medbasics Missouri LLC is a healthcare organization registered as Primary Care Clinic/Center in Independence, MO, holding Type 2 (organization) NPI 1063698827 since 2008. The authorized official on file is Jodi Krusely, Account Manager.

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NPI	1063698827
Entity type	Organization (Type 2)
Legal business name	Medbasics Missouri LLC
Parent organization	Medbasics Inc
Practice address	4201 S NOLAND RD, Independence, MO, 64055
Phone	8163739901
Fax	8163739905
Enumeration date	2008-01-10
Last updated in NPPES	2008-01-10

Authorized official

Name	Jodi Krusely
Title	Account Manager
Phone	8478383832

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QP2300X	Primary Care Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Medbasics Missouri LLC
NPI: 1063698827
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 4201 S NOLAND RD, Independence, MO, 64055

Providers at this address

NPI	Name	Type	Specialty	Location
1245363076	The Mastectomy Center	Organization	Prosthetic/Orthotic Supplier	Independence, MO
1184921223	Brad Wolzak	Individual	Pharmacist	Independence, MO
1972910636	Jami Montesano	Individual	Pharmacist	Independence, MO

Verify this record

Cross-check NPI 1063698827 against the authoritative CMS record: view Medbasics Missouri LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-01-10. Verify at npiregistry.cms.hhs.gov.

Where is Medbasics Missouri LLC located?

The practice location on file with NPPES is in Independence, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-01-10.