Individual provider Active NPI

Hannah Marie Pray Dietz, FNP-C

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1053166967
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5383125062 Issued in KS
Practice address
12200 W 106TH St Ste 125
Overland Park, KS 66215-2382
Phone
(913) 599-1396
NPI assigned
Apr 23, 2024
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5383125062 KS Primary

Addresses

Primary practice location

12200 W 106TH St Ste 125
Overland Park, KS 66215-2382

Mailing address

8787 Ballentine St Ste 2500
Overland Park, KS 66214-1985
Phone (609) 970-4753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20240611004149 MO Practitioner - Nurse Practitioner 7810439346 Reassigns benefits to 1 organization
I20240722002651 KS Practitioner - Nurse Practitioner 7810439346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpoint Womens Services LLCGroup PAC ID 1153594759, 7 clinicians

Practice addresses (Care Compare)

12200 W 106TH St
Suite 125
Overland Park, KS 66215-2305
Phone (913) 599-1396

8600 NE 82ND St
Kansas City, MO 64158-1430
Phone (913) 599-1396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5383125062KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Center at Brookside, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hannah.pray@hca2.eclinicaldirectplus.com

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1053166967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BALLENTINE ST STE 2500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662141985",
            "telephone_number": "609-970-4753",
            "fax_number": "844-315-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST STE 125",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152382",
            "telephone_number": "913-599-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "HANNAH",
        "middle_name": "MARIE PRAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5383125062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.