Individual provider Active NPI

Maria Antoinette Whitcomb, APRN, FNP

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1063950616
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78251 Issued in KS
Practice address
7500 Metcalf Ave
Overland Park, KS 66204
Phone
(855) 925-4733
NPI assigned
Feb 3, 2017
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 78251 KS Primary

Addresses

Primary practice location

7500 Metcalf Ave
Overland Park, KS 66204

Mailing address

7500 Metcalf Ave
Overland Park, KS 66204-2926
Phone (855) 925-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20181228001189 KS Practitioner - Nurse Practitioner 3375801475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11245 Shawnee Mission Pkwy
Shawnee, KS 66203-3308
Phone (913) 268-4455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78251KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center, Inc. CurrentSince Apr 15, 2021 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Apr 15, 2021 Accepting new patients

Locations

14744 W 119th St
Olathe, KS 66062
Phone (913) 839-1759

9099 W 135th St
Overland Park, KS 66221
Phone (913) 373-2230

Interoperability endpoints

  • Direct secure messaging: mwhitcomb1153100@adventhealth.direct-ci.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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1063950616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042926",
            "telephone_number": "855-925-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "855-925-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITCOMB",
        "first_name": "MARIA",
        "middle_name": "ANTOINETTE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.