Trisha Prossick, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-31231 Issued in KS

Practice address

153 W 151St Street
Suite 100
Olathe, KS 66061

Phone

(913) 764-1125

Fax

(913) 764-1186

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Maryland School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson County Dermatology P.a.Group PAC ID 3870555428, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.01 of 100Reported as group

Quality

61.61

Improvement activities

40

Cost

81.21

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

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.

• Johnson County Dermatology P.a.

  • Dermatology Physician
  • Olathe, KS
  • NPI 1457642845
  Medicare reassignment Care Compare group NPD
• American Dermatology Associates, LLC

  • Dermatology Physician
  • Shawnee Mission, KS
  • NPI 1063441103
  NPD (past)
• Kansas Medical Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Topeka, KS
  • NPI 1467825679
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1073597324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W 151ST STREET",
            "address_2": "SUITE 100",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615300",
            "telephone_number": "913-764-1125",
            "fax_number": "913-764-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 151ST STREET",
            "address_2": "SUITE 100",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-764-1125",
            "fax_number": "913-764-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSICK",
        "first_name": "TRISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-31231",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "KS",
            "license": "0431231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00456767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jo Pringle, PT, DPT
• Derek Pritchard, PTA
• Procare Chiropractic PA
• Professional Palliative Care, LLC
• Progress Home Care Services LLC
• Psychological Development Services
• Psychology & Counseling Center
• Anne Marie McCoy Pudlowski, DDS
• Pulse Chiropractic and Health Care
• Meaghan Kathleen Purdy, PA-C

• Dermatology Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.

Verify at the official NPI Registry.