Individual provider Active NPI

Lisa I Orrick, PAC

  • Physician Assistant
  • Shawnee Mission, KS
National Provider Identifier
1043286750
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500933 Issued in KS
Practice address
8800 W 75TH St
Ste 140
Shawnee Mission, KS 66204
Phone
(913) 722-5551
Fax
(913) 362-0583
NPI assigned
Feb 23, 2006
Last updated
Sep 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500933 KS Primary

Addresses

Primary practice location

8800 W 75TH St
Ste 140
Shawnee Mission, KS 66204

Mailing address

5330 N Oak Trafficway
Ste 201
Kansas City, MO 64118
Phone (816) 454-0666

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001495 KS Practitioner - Physician Assistant 7719888627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Medical Specialists PAGroup PAC ID 7517867203, 13 clinicians

Practice addresses (Care Compare)

7450 Kessler St
Suite 130
Merriam, KS 66204-2550
Phone (816) 454-0666

8490 College Blvd
Overland Park, KS 66210-2123
Phone (816) 454-0666

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Specialists PA CurrentSince Apr 7, 2016 Accepting new patients

Locations

7450 Kessler St
Ste 130
Merriam, KS 66204
Phone (816) 454-0666

8490 College Blvd
Overland Park, KS 66210
Phone (816) 454-2655

8800 W 75th St
Ste 140
Shawnee Msn, KS 66204
Phone (913) 362-3210

5330 N Oak Trfy
Ste 201
Kansas City, MO 64118
Phone (816) 454-0666

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1043286750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 N OAK TRAFFICWAY",
            "address_2": "STE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-454-0666",
            "fax_number": "816-454-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST",
            "address_2": "STE 140",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-722-5551",
            "fax_number": "913-362-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORRICK",
        "first_name": "LISA",
        "middle_name": "I",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.