Active NPI
Carrie L Englert, ANP-C, AOCNP
- Adult Health Nurse Practitioner
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 45768
- Practice address
- 12200 W 110TH St
Overland Park, KS 66210-4045 - Phone
- (913) 574-2650
- Fax
- (913) 574-2769
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 45768 | KS | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 2004012535 | MO | |
| Registered Nurse | 163W00000X | 14-90398-041 | KS | |
| Registered Nurse | 163W00000X | 2004012535 | MO |
Addresses
Primary practice location
12200 W 110TH St
Overland Park, KS 66210-4045
Mailing address
9200 Indian Creek Pkwy
BLDG. 9, Ste. 300
Overland Park, KS 66210-2002
Phone (913) 574-2800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200347050C | Medicaid | KS | |
| 1013002542 | Medicaid | MO |
Other names 1
- Carrie L Krumholz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
100 E Kansas St
Suite C
Lansing, KS 66043-1610
Phone (913) 758-0283
12200 W 110TH St
Overland Park, KS 66210-4045
Phone (913) 574-2650
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-90398-041 | KS | MD | Registered Nurse |
| 2004012535 | MO | MD | Registered Nurse |
| 45768 | KS | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| Kansas City Cancer Center, LLC | Past | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
12200 W 110th St
Shawnee Mission, KS 66210
Phone (913) 469-0002
Interoperability endpoints
- cenglert2149@direct.kuha.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Kansas City, KS
- NPI 1528019502
-
dba Ku Dental Associates
- Dentist
- Westwood, KS
- NPI 1295845758
-
- Medical Oncology Physician
- Overland Park, KS
- NPI 1003864471
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Kansas Hospital / University of Kansas Cancer Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
dba The University of Kansas Hospital
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1013002542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 INDIAN CREEK PKWY",
"address_2": "BLDG. 9, STE. 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102002",
"telephone_number": "913-574-2800",
"fax_number": "913-574-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 W 110TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662104045",
"telephone_number": "913-574-2650",
"fax_number": "913-574-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLERT",
"first_name": "CARRIE",
"middle_name": "L",
"credential": "ANP-C, AOCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KS",
"license": "45768",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2004012535",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-90398-041",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2004012535",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200347050C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013002542",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "KRUMHOLZ",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.