Individual provider Active NPI

Chelsea June Tutera

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1053868877
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2016032098 Issued in MO
Practice address
4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201
Phone
(816) 931-3312
Fax
(816) 531-9862
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 2016032098 MO Primary

Addresses

Primary practice location

4330 Wornall Rd Ste 50
Kansas City, MO 64111-3201

Mailing address

PO Box 7411931
Chicago, IL 60674-1931
Phone (816) 931-3312

Other names 1

  • Chelsea J Light Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160930000779 MO Practitioner - Physician Assistant 2062709363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Surgeons of Kansas City IncGroup PAC ID 5193878072, 36 clinicians

Practice addresses (Care Compare)

4320 Wornall Rd
2000 Saint Lukes Clinic
Kansas City, MO 64111-5939
Phone (816) 932-8258

4401 Wornall Rd
Mid Heart Lung
Kansas City, MO 64111-3220
Phone (816) 931-3312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
86.25
Promoting interoperability
100
Improvement activities
40
Cost
77.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc PastSince Jun 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clight93265@direct.saint-lukes.org

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 3

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1053868877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411931",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606741931",
            "telephone_number": "816-931-3312",
            "fax_number": "816-531-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 50",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113201",
            "telephone_number": "816-931-3312",
            "fax_number": "816-531-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTERA",
        "first_name": "CHELSEA",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016032098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "LIGHT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.