Individual provider Active NPI

Makenzie Kayla Stroup, FNP-BC

  • Family Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1063132827
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022034855 Issued in MO
Practice address
3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337
Phone
(816) 533-4398
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022034855 MO Primary

Addresses

Primary practice location

3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337

Mailing address

3521 NE Ralph Powell Rd
Lees Summit, MO 64064-2337
Phone (816) 533-4398

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
I20230125001408 MO Practitioner - Nurse Practitioner 2769852110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Skin Care IncorporatedGroup PAC ID 2264459650, 5 clinicians

Practice addresses (Care Compare)

3521 NE Ralph Powell Rd
Suite C
Lees Summit, MO 64064-2324
Phone (816) 554-8346

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
75.46
Promoting interoperability
100
Improvement activities
40
Cost
69.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Skin Care Incorporated CurrentSince Sep 5, 2024 Accepting new patients

Locations

3521 NE Ralph Powell Rd
Ste C
Lees Summit, MO 64064
Phone (816) 554-7546

3521 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 533-4398

Interoperability endpoints

  • Direct secure messaging: makenzie.stroup@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1063132827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642337",
            "telephone_number": "816-533-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 NE RALPH POWELL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642337",
            "telephone_number": "816-533-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "MAKENZIE",
        "middle_name": "KAYLA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-02-26",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022034855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.