Individual provider Active NPI

Mary Beth Stuart, RPA-C

  • Physician Assistant
  • Lenexa, KS
National Provider Identifier
1013923457
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01673 Issued in KS
Practice address
15319 W 95TH St
Lenexa, KS 66219-1262
Phone
(913) 495-9905
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007373 NY
Physician Assistant 363A00000X 15-01673 KS Primary
Physician Assistant 363A00000X 2014005142 MO

Addresses

Primary practice location

15319 W 95TH St
Lenexa, KS 66219-1262

Mailing address

15319 W 95TH St
Lenexa, KS 66219-1262
Phone (913) 495-9905

Other identifiers 1

IdentifierTypeStateIssuer
02730032MedicaidNY

Other names 1

  • Mary Beth Leahy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180518001577 KS Practitioner - Physician Assistant 2961427885 Reassigns benefits to 1 organization
I20180521000849 MO Practitioner - Physician Assistant 2961427885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

599 Armour Rd
North Kansas City, MO 64116-3513
Phone (816) 421-0750

6401 E Front St
Concentra Urgent Care
Kansas City, MO 64120-1356
Phone (816) 241-0603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Kansas PA Current Accepting new patients
American Current Care of Kansas PA Current Accepting new patients
American Current Care of Kansas PA CurrentSince Jun 11, 2018 Accepting new patients

Locations

14809 W 95th St
Lenexa, KS 66215
Phone (913) 894-6664

15319 W 95th St
Lenexa, KS 66219
Phone (913) 495-9905

6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603

83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1013923457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15319 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191262",
            "telephone_number": "913-495-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15319 W 95TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191262",
            "telephone_number": "913-495-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007373",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01673",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014005142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02730032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LEAHY",
            "middle_name": "BETH",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.