Paige Allen
Individual provider Active NPI Nurse Practitioner · Liberty, MO
NPI 1114537396 · NPPES record last updated Sep 2, 2021
Key facts
- NPI
- 1114537396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2020037599 (MO)
- Practice address
- 2521 Glenn Hendren Dr Ste 306
Liberty, MO 64068-3388 - Phone
- (816) 407-5430
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000
12330 Metcalf Ave
Overland Park, KS 66213-1324
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210111002101 | MO | Practitioner - Nurse Practitioner | 0042623175 | Reassigns benefits to 1 organization |
| I20250222000246 | KS | Practitioner - Nurse Practitioner | 0042623175 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Nurse Practitioner | Current |
Accepting new patients |
Locations
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2020037599 | MO | Yes |
Addresses
Primary practice location
2521 Glenn Hendren Dr Ste 306
Liberty, MO 64068-3388
Mailing address
2521 Glenn Hendren Dr Ste 306
Liberty, MO 64068-3388
Phone (816) 407-5430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS | Other | MO | 63995018 |
Other providers in Liberty, MO
- Justin M Albani
- Isabela Angel Albert
- Lillian Catherine Alderman
- Alex R. Sharifian, D.D.S., Liberty Modern Dentistry, PC
- Jennifer Lea Allen
- Natasha F Allison
- Jackquelin Almaraz
- Charles Alt
- Sheila M Alton
- Maricela Alvarez
All providers in Liberty, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.