Individual provider Active NPI

Elizabeth Bertschy, NP

  • Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1114465457
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017003632 Issued in MO
Practice address
1980 SE Blue Pkwy Ste 2110
Lees Summit, MO 64063-1074
Phone
(913) 234-7600
Fax
(816) 361-5775
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017003632 MO Primary
Nurse Practitioner 363L00000X 53-77569-101 KS

Addresses

Primary practice location

1980 SE Blue Pkwy Ste 2110
Lees Summit, MO 64063-1074

Mailing address

5100 W 110TH St Ste 120
Overland Park, KS 66211-1215
Phone (913) 234-7600

Other practice location 1

5100 W 110th St Ste 120
Overland Park, KS 66211-1215
Phone (913) 234-7600

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
I20170324000082 MO Practitioner - Nurse Practitioner 0941585426 Reassigns benefits to 1 organization
I20170612002391 KS Practitioner - Nurse Practitioner 0941585426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 361-0055

1980 SE Blue Pkwy
Suite 2110
Lees Summit, MO 64063-1074
Phone (913) 234-7600

2100 SE Blue Pkwy
Lees Summit Medical Center
Lees Summit, MO 64063-1007
Phone (816) 282-5000

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 361-0055

5721 W 119TH St
Menroah Medical Center
Overland Park, KS 68209-3722
Phone (913) 498-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-77569-101KSMDNurse Practitioner
2017003632MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Gastroenterology & Hepatology Physicians Group, LLC CurrentSince Mar 3, 2019 Accepting new patients

Locations

5100 W 110th St
Ste 120
Overland Park, KS 66211
Phone (913) 234-7600

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

6675 Holmes Rd
Ste 430
Kansas City, MO 64131
Phone (816) 361-5525

1980 SE Blue Pkwy
Ste 2110
Lees Summit, MO 64063
Phone (913) 234-7600

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: elizabeth.bertschy@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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 4

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1114465457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-234-7600",
            "fax_number": "816-361-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SE BLUE PKWY STE 2110",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631074",
            "telephone_number": "913-234-7600",
            "fax_number": "816-361-5775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 W 110th St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111215",
            "country_code": "US",
            "telephone_number": "913-234-7600",
            "fax_number": "816-361-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTSCHY",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017003632",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-77569-101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.