Sabrina Diane Knoch, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Kansas City, MO
NPI 1003670258 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1003670258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2024004419 (MO)
- Practice address
- 500 NW 68TH St
Kansas City, MO 64118-2455 - Phone
- (816) 420-6300
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240418000903 | MO | Practitioner - Nurse Practitioner | 5597104992 | Reassigns benefits to 2 organizations |
| I20250114001895 | KS | Practitioner - Nurse Practitioner | 5597104992 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11031542 | FL | MD | Family Nurse Practitioner |
| 53-83426-041 | KS | MD | Family Nurse Practitioner |
| 2024004419 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Idkc LLC | Current |
Accepting new patients | |
| Acg Kansas, LLC | Current |
Accepting new patients | |
| Acg Missouri West, LLC | Current |
Accepting new patients | |
| Acg Missouri West, LLC | Family Medicine | Past |
Accepting new patients |
Locations
8800 State Line Rd
Leawood, KS 66206
Phone (913) 383-9099
7400 W 132nd St
Ste 180B
Overland Park, KS 66213
205 NW R D Mize Rd
Ste 105
Blue Springs, MO 64014
1650 NE Grand Ave
Ste 201
Lees Summit, MO 64086
Phone (888) 701-4661
1650 NE Grand Ave
Ste 201B
Lees Summit, MO 64086
Phone (866) 618-4673
187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEIFDD/Endpoint/EEIFDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-83426-041 | KS | |
| Family Nurse Practitioner | 363LF0000X | 11031542 | FL | |
| Family Nurse Practitioner | 363LF0000X | 2024004419 | MO | Yes |
Addresses
Primary practice location
500 NW 68TH St
Kansas City, MO 64118-2455
Mailing address
712 SW 37TH Street Ter
Blue Springs, MO 64015-7419
Other providers in Kansas City, MO
- Karl Nelson Knights
- Kristen Nicole Knipp
- Sarah Elizabeth Knisely
- Connie Knoblauch
- Samantha Jo Knoblauch
- Jonathan David Knoepfler
- Michelle Marie Knoll
- Christina Knott
- Robert Knowles
- Ethan James Knowlton
All providers in Kansas City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.