Individual provider Active NPI

Kirstie Schneider Van Ry, M.D.

  • Surgery Physician
  • Liberty, MO
National Provider Identifier
1093940157
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2015020980 Issued in MO
Practice address
2521 Glenn Hendren Dr
Ste 108
Liberty, MO 64068-3388
Phone
(816) 781-7200
Fax
(816) 781-6973
NPI assigned
May 19, 2009
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2015020980 MO Primary

Addresses

Primary practice location

2521 Glenn Hendren Dr
Ste 108
Liberty, MO 64068-3388

Mailing address

PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 781-7200

Other identifiers 2

IdentifierTypeStateIssuer
NC2154MedicaidSC
1093940157MedicaidNC

Other names 1

  • Dr. Kirstie Schneider Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20150730012696 MO Practitioner - General Surgery 3173741063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2521 Glenn Hendren Dr
Suite 108
Liberty, MO 64068-3388
Phone (816) 781-3515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)11
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2015020980MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Coporation CurrentSince Aug 31, 2015 Accepting new patients
Excelsior Springs City Hospital CurrentSince Apr 1, 2025 Accepting new patients
New Liberty Hospital Corporation CurrentSince Aug 31, 2015 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients
New Liberty Hospital Corporation Current Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

9151 NE 81st Ter
Ste 200
Kansas City, MO 64158
Phone (816) 474-9353

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 108
Liberty, MO 64068
Phone (816) 781-3515

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

Interoperability endpoints

  • Direct secure messaging: kirstie.vanry.p6@direct.nlhc.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Liberty HospitalLiberty, MO, CCN 260177 Hospital Corporate Director Jul 1, 2024
The Plattsburg ClinicPlattsburg, MO, CCN 263929 Rural health clinic Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1093940157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-781-7200",
            "fax_number": "816-781-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "STE 108",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-781-7200",
            "fax_number": "816-781-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RY",
        "first_name": "KIRSTIE",
        "middle_name": "SCHNEIDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2015020980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2154",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093940157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTIE",
            "last_name": "SCHNEIDER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.