Active NPI
Nikki A Vogel, PA
- Physician Assistant
- Independence, MO
National Provider Identifier
1063729879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-01393
- Practice address
- 19550 E 39TH St S
Ste 410
Independence, MO 64057-2358 - Phone
- (816) 303-2400
- Fax
- (816) 303-2484
- NPI assigned
- Sep 1, 2010
- Last updated
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01393 | KS | Primary |
Addresses
Primary practice location
19550 E 39TH St S
Ste 410
Independence, MO 64057-2358
Mailing address
19550 E 39TH St S Ste 410
Independence, MO 64057-2307
Phone (816) 303-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016026105 | Other | MO | MISSOURI LICENSE |
| 15-01393 | Other | KS | STATE LICENSE |
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
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10900 W 86TH St
Lenexa, KS 66214-1634
Phone (816) 561-3003
1950 Diamond Pkwy
Suite 100
Kansas City, MO 64116-4329
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01393 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Observation Services, PLLC | Past | Accepting new patients | |
| Degara, PLLC | Past | Accepting new patients | |
| Lansing Urgent Care, PLC | Past | Accepting new patients |
Interoperability endpoints
- orthopedichealthofkansascity.nikkivogel@151220.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1336188242
KS
-
- Emergency Medicine Physician
- Pontiac, MI
- NPI 1457589657
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1780987990
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1346503158
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1063729879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S STE 410",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572307",
"telephone_number": "816-303-2400",
"fax_number": "816-303-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19550 E 39TH ST S",
"address_2": "STE 410",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572358",
"telephone_number": "816-303-2400",
"fax_number": "816-303-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGEL",
"first_name": "NIKKI",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-01393",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI LICENSE",
"identifier": "2016026105",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "15-01393",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.