Individual provider Active NPI

Amanda F. Cavlovich, F.N.P.

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1124373238
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012022376 Issued in MO
Practice address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone
(816) 234-3000
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012022376 MO Primary
Family Nurse Practitioner 363LF0000X 75840 KS

Addresses

Primary practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Mailing address

2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20150922000048 KS Practitioner - Nurse Practitioner 1355658469 Reassigns benefits to 2 organizations
I20160511000277 MO Practitioner - Nurse Practitioner 1355658469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

6420 N Prospect Ave
Creekwood Urgent Care
Gladstone, MO 64119-1530
Phone (913) 574-2273

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-6600

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012022376MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc CurrentSince Feb 1, 2016 Accepting new patients
Jayhawk Primary Care Inc Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Jayhawk Primary Care Inc CurrentSince Aug 9, 2015 Accepting new patients
Kansas University Physicians, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 1, 2021 Accepting new patients
Jayhawk Primary Care Inc CurrentSince Aug 9, 2015 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

2000 Olathe
Ste D
Kansas City, KS 66160
Phone (913) 588-2200

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

6420 N Prospect Ave
Gladstone, MO 64119
Phone (913) 945-9700

12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684

1403 Grand Blvd
Kansas City, MO 64106
Phone (816) 268-4295

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

Organizations & group practices 9

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.

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": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1124373238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-234-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GILLHAM RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641084619",
            "telephone_number": "816-234-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVLOVICH",
        "first_name": "AMANDA",
        "middle_name": "F.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012022376",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.