Active NPI
Mary A. Cowan, MSN, APN
- Women's Health Nurse Practitioner
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 093641
- Practice address
- 20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001 - Phone
- (816) 282-7809
- Fax
- (816) 282-7870
- NPI assigned
- Jun 22, 2010
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 093641 | MO | Primary |
Addresses
Primary practice location
20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Mailing address
20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone (816) 282-7809
Other practice location 1
5701 W 119th St Ste 225
Overland Park, KS 66209-3721
Phone (913) 601-4020
Other names 1
- Mary A Raynor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000284 | MO | Practitioner - Nurse Practitioner | 1153447149 | Reassigns benefits to 3 organizations |
| I20191030003344 | KS | Practitioner - Nurse Practitioner | 1153447149 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Physician Group LLCRockhill Women'S Care Inc
Practice addresses (Care Compare)
20 NE Saint Lukes Blvd
310 Rockhill Women'S Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809
5701 W 119TH St
225 Menorah
Overland Park, KS 66209-3721
Phone (913) 601-4020
Hospital & facility affiliations
- Menorah Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockhill Women'S Care, Inc | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients |
Locations
21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111
5701 W 119th St
Ste 225
Overland Park, KS 66209
Phone (913) 469-0550
17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500
20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCJABA
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
- Federally Qualified Health Center (FQHC)
- Kansas City, KS
- NPI 1013002765
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1073834271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 NE SAINT LUKES BLVD STE 310",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866001",
"telephone_number": "816-282-7809",
"fax_number": "816-282-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NE SAINT LUKES BLVD STE 310",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866001",
"telephone_number": "816-282-7809",
"fax_number": "816-282-7870"
}
],
"practiceLocations": [
{
"address_1": "5701 W 119th St Ste 225",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662093721",
"country_code": "US",
"telephone_number": "913-601-4020",
"fax_number": "913-601-4022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COWAN",
"first_name": "MARY",
"middle_name": "A.",
"credential": "MSN, APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "093641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "RAYNOR",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.