Courtney Adams
Individual provider Active NPI Medical Physician Assistant · Independence, MO
NPI 1013451558 · NPPES record last updated Apr 4, 2018
Key facts
- NPI
- 1013451558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 2016041932 (MO)
- Practice address
- 19550 E 39TH St S
Ste 410
Independence, MO 64057-2358 - Phone
- (816) 303-2400
- Fax
- (816) 303-2484
- NPI assigned
- Dec 16, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Health of Kansas City PC
Practice addresses (Care Compare)
10900 W 86TH St
Lenexa, KS 66214-1634
Phone (816) 561-3003
1950 Diamond Pkwy
Suite 100
Kansas City, MO 64116-4329
Hospital & facility affiliations
- Centerpoint Medical Center
- NKC Health
- Adventhealth Shawnee Mission
- University of Kansas Hospital
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 |
|---|---|---|---|---|
| I20170104000685 | MO | Practitioner - Physician Assistant | 6204117302 | Reassigns benefits to 1 organization |
| I20230204000406 | KS | Practitioner - Physician Assistant | 6204117302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016041932 | MO | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2016041932 | MO | |
| Medical Physician Assistant | 363AM0700X | 2016041932 | MO | Yes |
Addresses
Primary practice location
19550 E 39TH St S
Ste 410
Independence, MO 64057-2358
Mailing address
19550 E 39TH St S
Ste 410
Independence, MO 64057-2358
Phone (816) 303-2400
Other providers in Independence, MO
- Malcolm Basinillo Acierto
- Erika L Acord
- Active Body Chiropractic & Wellness, LLC
- Meghan Anne Earley Adamczak
- Ashley Adams
- Adaptive Behavioral Solutions
- Ashok Adhikari
- Adjuvant Physical Therapy LLC.
- Adult Quick Care, LLC
- Advance Home Health Care LLC
All providers in Independence, MO · Medical Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.