Active NPI
Shannon Lynn, MPAS, PA-C
- Physician Assistant
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2006038819
- Practice address
- 4401 Wornall Rd
Peet Center #5368
Kansas City, MO 64111-3220 - Phone
- (816) 932-6183
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2006038819 | MO | Primary |
Addresses
Primary practice location
4401 Wornall Rd
Peet Center #5368
Kansas City, MO 64111-3220
Mailing address
4910 W 71St Ter
Prairie Village, KS 66208-2325
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120426000624 | MO | Practitioner - Physician Assistant | 1850553454 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006038819 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| Saint Lukes Physician Group Inc | Physician Assistant | Current | Accepting new patients |
| Saint Lukes Physician Group II LLC | Past | Accepting new patients |
Locations
901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117
4401 Wornall Rd
#5368
Kansas City, MO 64111
Phone (816) 932-6183
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Overland Park, KS
- NPI 1043826563
Physician Assistant
-
- Surgery Physician
- Kansas City, MO
- NPI 1750335337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
Hospital
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1124173737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 W 71ST TER",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662082325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 WORNALL RD",
"address_2": "PEET CENTER #5368",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113220",
"telephone_number": "816-932-6183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "SHANNON",
"credential": "MPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2006038819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.