Individual provider Active NPI

Caroline Grace McFeeters

  • Physician Assistant
  • Leawood, KS
National Provider Identifier
1083361612
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02882 Issued in KS
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240130000901 MO Practitioner - Physician Assistant 3971956673 Reassigns benefits to 1 organization
I20240307002798 KS Practitioner - Physician Assistant 3971956673 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2024000081MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Head & Neck Surgery of Kansas City P a CurrentSince Mar 18, 2025 Accepting new patients
Head & Neck Surgery of Kansas City P a CurrentSince Mar 18, 2025 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.

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

Verify at the official NPI Registry.