Individual provider Active NPI

Mary M Luder, ARNP

  • Women's Health Clinical Nurse Specialist
  • Overland Park, KS
National Provider Identifier
1043299969
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X
License
1369011062 Issued in KS
Practice address
12200 W 106TH Street Suite 130
Overland Park, KS 66215-2305
Phone
(913) 307-0044
Fax
(913) 227-0094
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Clinical Nurse Specialist 364SW0102X 1369011062 KS Primary
Women's Health Clinical Nurse Specialist 364SW0102X NP45665 KS
Women's Health Clinical Nurse Specialist 364SW0102X 135783 MO

Addresses

Primary practice location

12200 W 106TH Street Suite 130
Overland Park, KS 66215-2305

Mailing address

12200 W 106TH St
Suite 130
Overland Park, KS 66215-2305
Phone (913) 307-0044

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
I20051003000780 KS Practitioner - Nurse Practitioner 0941235469 Reassigns benefits to 1 organization
I20241212001042 MO Practitioner - Nurse Practitioner 0941235469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003
Phone (913) 588-7750

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1369011062KSMDWomen's Health Clinical Nurse Specialist
NP45665KSMDWomen's Health Clinical Nurse Specialist
135783MOMDWomen's Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Dec 28, 2010 Accepting new patients
University of Kansas Hospital Authority CurrentSince Dec 28, 2010 Accepting new patients

Locations

3901 Rainbow Blvd
#5300
Kansas City, KS 66160
Phone (913) 588-6210

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1043299969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-307-0044",
            "fax_number": "913-227-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH STREET SUITE 130",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152305",
            "telephone_number": "913-307-0044",
            "fax_number": "913-227-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDER",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "KS",
            "license": "1369011062",
            "primary": true
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "KS",
            "license": "NP45665",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "MO",
            "license": "135783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.