Active NPI
Caroline Grace McFeeters
- Physician Assistant
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-02882
- Practice address
- 4801 College Blvd
Leawood, KS 66211-1628 - Phone
- (913) 721-3387
- Fax
- (816) 875-2598
- NPI assigned
- Mar 3, 2022
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2024000081 | MO | |
| Physician Assistant | 363A00000X | 15-02882 | KS | Primary |
Addresses
Primary practice location
4801 College Blvd
Leawood, KS 66211-1628
Mailing address
5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5370 College Blvd
Suite 100
Overland Park, KS 66211-1891
Phone (913) 599-4800
8901 W 74TH St
Suite 121
Merriam, KS 66204-2201
Phone (913) 599-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024000081 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Surgery of Kansas City P a | Current | Accepting new patients | |
| Head & Neck Surgery of Kansas City P a | Current | Accepting new patients |
Locations
2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386
5370 College Blvd
Ste 100
Overland Park, KS 66211
Phone (913) 933-0939
8901 W 74th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 261-2223
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Overland Park, KS
- NPI 1942354014
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Belton, MO
- NPI 1669527610
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Kansas City, MO
- NPI 1952455065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1083361612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111614",
"telephone_number": "816-478-4200",
"fax_number": "816-875-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 COLLEGE BLVD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111628",
"telephone_number": "913-721-3387",
"fax_number": "816-875-2598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFEETERS",
"first_name": "CAROLINE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2024000081",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-02882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.