Jessica Hartzler, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2021036598 Issued in MO

Practice address

3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337

Phone

(816) 554-8346

Fax

(816) 554-9470

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Physician Assistant

Education

University of Missouri, Kansas City, School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Vein Institute Professional LLCGroup PAC ID 8325181431, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.hartzler.p1@direct.americanvein.nextgenshare.com

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.

• Rocky Mountain Vein Institute Professional LLC

  • Vascular & Interventional Radiology Physician
  • Pueblo, CO
  • NPI 1457685398

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rocky Mountain Vein Institute, PLLC

  • Vascular & Interventional Radiology Physician
  • Colorado Springs, CO
  • NPI 1194325811

  Single Specialty

  NPD
• Rocky Mountain Vein Institute, PLLC

  • Vascular & Interventional Radiology Physician
  • Colorado Springs, CO
  • NPI 1457942898

  Single Specialty

  NPD (past)
• Rocky Mountain Vein Institute, PLLC

  • Vascular & Interventional Radiology Physician
  • Highlands Ranch, CO
  • NPI 1801496534

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1023649399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642337",
            "telephone_number": "816-554-8346",
            "fax_number": "816-554-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642337",
            "telephone_number": "816-554-8346",
            "fax_number": "816-554-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZLER",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021036598",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Lee Hart
• Pamela A Hart, PHD CCC-SLP
• Sarah Hartenberger, IBCLC
• Robert K Hartnett, OD
• Mark Earl Hartter, DDS
• Harvest Home Health
• Harvest Home Health
• Stacey Haselhorst
• Mary E Hasley, DC
• Jillian Rosalee Hasso, LPC

• Physician Assistant in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.

Verify at the official NPI Registry.