Angelique' C Pritchett, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0430862 Issued in KS

Practice address

12210 W 87TH Street Pkwy
Suite 135
Lenexa, KS 66215-2812

Phone

(913) 438-6700

Fax

(913) 428-1500

NPI assigned

Sep 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 24, 2016 through Feb 24, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apritchett755724@direct.kuha.org

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.

• College Park Family Care Center PA

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1740248772
  NPD (past)
• College Park Family Care Center, P.a.

  • Radiology Clinic/Center
  • Overland Park, KS
  • NPI 1881803229
  NPD (past)
• Living Water Family Care

  • Family Medicine Physician
  • Kansas City, KS
  • NPI 1154414555
  NPD (past)
• Overland Park Surgical Specialties LLC

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1760798540
  NPD (past)
• Physician Now, LLC

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1952581167
  NPD (past)
• Providence Care Inc

  • Family Medicine Physician
  • Kansas City, KS
  • NPI 1477860112
  NPD (past)
• Providence Urgent Care Center

  • Urgent Care Clinic/Center
  • Shawnee, KS
  • NPI 1043237894
  NPD (past)
• Moscati Health Center PC

  • Family Medicine Physician
  • Hastings, NE
  • NPI 1679685291
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1104919505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741331",
            "telephone_number": "913-469-0503",
            "fax_number": "913-469-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 W 87TH STREET PKWY",
            "address_2": "SUITE 135",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152812",
            "telephone_number": "913-438-6700",
            "fax_number": "913-428-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "ANGELIQUE'",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0430862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY",
            "identifier": "34559018",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270130A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Fawn Presley, MS, LCMFT
• Renee Elise Prew, PHD
• Emma Price
• Pride Care Medical Equipment and Mobility LLC
• Prime Surgical Associates LLC
• Pro-Motion Medical Technologies Inc
• Progene Biomedical Inc
• Progressions
• Progressive Medical Equipment, LLC
• Promptcare Infusion Centers LLC

• Family Medicine Physician in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.