Individual provider Active NPI

Kayla Nicole Suber, NP-C

  • Family Nurse Practitioner
  • Chillicothe, MO
National Provider Identifier
1124530001
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017033357 Issued in MO
Practice address
861 Fairway Dr
Chillicothe, MO 64601-3673
Phone
(660) 646-0000
Fax
(660) 646-5404
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017033357 MO Primary

Addresses

Primary practice location

861 Fairway Dr
Chillicothe, MO 64601-3673

Mailing address

861 Fairway Dr
Chillicothe, MO 64601-3673
Phone (660) 646-0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180430002123 MO Practitioner - Nurse Practitioner 3375807258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory W Sensenich IncGroup PAC ID 3870640014, 2 clinicians

Practice addresses (Care Compare)

861 Fairway Dr
Chillicothe, MO 64601-3673
Phone (660) 646-0000

Hospital & facility affiliations

  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321
  • Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309
  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
88.35
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
22.25 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017033357MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory W Sensenich Inc CurrentSince Mar 26, 2018 Accepting new patients

Locations

861 Fairway Dr
Chillicothe, MO 64601
Phone (660) 646-0000

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1124530001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 FAIRWAY DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013673",
            "telephone_number": "660-646-0000",
            "fax_number": "660-646-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 FAIRWAY DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013673",
            "telephone_number": "660-646-0000",
            "fax_number": "660-646-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBER",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017033357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.