Individual provider Active NPI

Lauren Tomac

  • Primary Care Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1124747142
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2022039659 Issued in MO
Practice address
25 E 113TH Ter
Kansas City, MO 64114-5447
Phone
(636) 487-1078
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2022039659 MO Primary
Primary Care Nurse Practitioner 363LP2300X 53-81719-051 KS
General Practice Registered Nurse 163WG0000X 2018021440 MO

Addresses

Primary practice location

25 E 113TH Ter
Kansas City, MO 64114-5447

Mailing address

901 E 104TH St
Kansas City, MO 64131-4517

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
I20230330001901 KS Practitioner - Nurse Practitioner 8729452917 Reassigns benefits to 2 organizations
I20230331000291 MO Practitioner - Nurse Practitioner 8729452917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians
Max-Well Urgent Care LLCGroup PAC ID 8729433669, 9 clinicians

Practice addresses (Care Compare)

1101 S 7 Hwy
Blue Springs, MO 64014-3204
Phone (816) 251-5800

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

1307 E N Ave
Belton, MO 64012-5109
Phone (816) 251-5765

15604 Pinehurst Dr
Suite 3a
Basehor, KS 66007-8234
Phone (913) 662-0043

301 NE Rice Rd
Lees Summit, MO 64086-2979
Phone (816) 251-5760

310 SW Ward Rd
Lees Summit, MO 64081-2445
Phone (816) 251-5770

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630

500 NE Barry Rd
Kansas City, MO 64155-2879
Phone (816) 251-5790

5151 Troost Ave
Suite 200
Kansas City, MO 64110-2524
Phone (816) 502-9130

5844 NW Barry Rd
Kansas City, MO 64154-1483

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

6655 Martway St
Mission, KS 66202-3290
Phone (913) 323-8875

8860 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8101

8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8125

9400 E
Suite 350
Raytown, MO 64133-6509
Phone (816) 251-5700

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018021440MOMDGeneral Practice Registered Nurse
53-81719-051KSMDPrimary Care Nurse Practitioner
2022039659MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Max-Well Urgent Care LLC CurrentSince Apr 1, 2024 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jan 29, 2023 Accepting new patients

Locations

15604 Pinehurst Dr
Ste 3A
Basehor, KS 66007
Phone (913) 271-5878

15604 Pinehurst Dr
Ste 3
Basehor, KS 66007
Phone (870) 907-1060

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: lshea440211@direct.saint-lukes.org

Organizations & group practices 2

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1124747142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E 113TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145447",
            "telephone_number": "636-487-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMAC",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2022039659",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-81719-051",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "2018021440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.