Active NPI
Mary Katherine Eikermann, APRN
- Acute Care Nurse Practitioner
- Blue Springs, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2019038327
- Practice address
- 600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493 - Phone
- (816) 932-4630
- Fax
- (816) 932-4631
- NPI assigned
- Mar 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2019038327 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 2019038328 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 5378984012 | KS | |
| Adult Health Nurse Practitioner | 363LA2200X | 2019038327 | MO |
Addresses
Primary practice location
600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Mailing address
600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 932-4630
Other names 1
- Mary Katherine Ismert
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630
600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 932-4630
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5378984012 | KS | MD | Acute Care Nurse Practitioner |
| 2019038328 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Multi-Specialty | Current | Accepting new patients |
| Saint Luke'S Physician Group Inc | Current | Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
KS, Multi-Specialty
-
- Infusion Therapy Clinic/Center
- Blue Springs, MO
- NPI 1376257220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1053947549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NE ADAMS DAIRY PKWY",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640145493",
"telephone_number": "816-932-4630",
"fax_number": "816-932-4631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NE ADAMS DAIRY PKWY",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640145493",
"telephone_number": "816-932-4630",
"fax_number": "816-932-4631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIKERMANN",
"first_name": "MARY",
"middle_name": "KATHERINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-17",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2019038327",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019038328",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "KS",
"license": "5378984012",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2019038327",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ISMERT",
"middle_name": "KATHERINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.