NPIMap

Individual provider Active NPI

Tessa Weigel

  • Family Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1073995353
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015009940 Issued in MO
Practice address
2790 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3276
Phone
(816) 474-9353
Fax
(816) 474-3627
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015009940 MO Primary
Family Nurse Practitioner 363LF0000X 5376775101 KS

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr
Suite 410
North Kansas City, MO 64116-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150921003121 MO Practitioner - Nurse Practitioner 4486961695 Reassigns benefits to 1 organization
I20150923002790 KS Practitioner - Nurse Practitioner 4486961695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates MD PAGroup PAC ID 9931012820, 20 clinicians

Practice addresses (Care Compare)

1295 E 151St St
Suite 7
Olathe, KS 66062-3429
Phone (913) 381-0622

2790 Clay Edwards Dr
Suite 410
N Kansas City, MO 64116-3274
Phone (816) 474-9353

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5376775101KSMDFamily Nurse Practitioner
2015009940MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates MD PA CurrentSince Sep 1, 2015 Accepting new patients
Windcreek Dialysis LLC Past Accepting new patients
Transtreme, LLC Family Past Accepting new patients

Locations

9501 State Ave
Ste 1
Kansas City, KS 66111
Phone (913) 596-1700

11111 Nall Ave
Ste 222
Leawood, KS 66211
Phone (913) 338-5448

1295 E 151st St
Ste 7
Olathe, KS 66062
Phone (913) 381-0622

11111 Nall Ave
Ste 114
Overland Park, KS 66211
Phone (913) 383-1202

1605 E Peoria St
Paola, KS 66071
Phone (913) 294-8417

8901 W 74th St
Ste 328
Shawnee Msn, KS 66204

2790 Clay Edwards Dr
Ste 410
North Kansas City, MO 64116
Phone (816) 474-9353

Interoperability endpoints

  • Direct secure messaging: tessa.weigel.p1@direct.nephkc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1073995353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 410",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-474-9353",
            "fax_number": "816-474-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGEL",
        "first_name": "TESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015009940",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5376775101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.