Individual provider Active NPI

Erica Roshell Simpson, D.C.

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1013271089
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011041270 Issued in MO
Practice address
506 SE 291 Hwy
Unit I
Lees Summit, MO 64063-4388
Phone
(816) 694-7623
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2011041270 MO Primary

Addresses

Primary practice location

506 SE 291 Hwy
Unit I
Lees Summit, MO 64063-4388

Mailing address

1412 SW 13TH St
Blue Springs, MO 64015-5412
Phone (816) 694-7623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121219000166 MO Practitioner - Chiropractic 1850547506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lees Summit Family Chiropractic PCGroup PAC ID 5597917260, 2 clinicians

Practice addresses (Care Compare)

618 SW 3Rd St
Suite H
Lees Summit, MO 64063-2277
Phone 81628740442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011041270MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lees Summit Family Chiropractic PC Chiropractor CurrentSince Sep 29, 2012 Accepting new patients
Advanced Foot Care Center, PC Past Accepting new patients

Locations

506 SE State Route 291
Ste I
Lees Summit, MO 64063
Phone (816) 682-0183

618 SW 3rd St
Ste H
Lees Summit, MO 64063
Phone (816) 287-4044

828 SW Blue Pkwy
Lees Summit, MO 64063
Phone 81628740442

Networks

  • IA HMO
  • IA HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1013271089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SW 13TH ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640155412",
            "telephone_number": "816-694-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SE 291 HWY",
            "address_2": "UNIT I",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640634388",
            "telephone_number": "816-694-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "ERICA",
        "middle_name": "ROSHELL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011041270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.