Individual provider Active NPI

Pamela R Elliott, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1134466048
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013000996 Issued in MO
Practice address
3130 Mersington Ave
Kansas City, MO 64128-1755
Phone
(816) 404-6700
Fax
(816) 404-6699
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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 2013000996 MO Primary

Addresses

Primary practice location

3130 Mersington Ave
Kansas City, MO 64128-1755

Mailing address

2301 Holmes St
Kansas, MO 64108-2640
Phone (816) 404-3744

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
I20191217002351 MO Practitioner - Nurse Practitioner 3375977754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

3130 Mersington Ave
Kansas City, MO 64128-1755
Phone (816) 404-6700

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Dec 16, 2019 Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Dec 16, 2019 Accepting new patients
Platte County Health Department Past Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

3130 Mersington Ave
Kansas City, MO 64128
Phone (816) 404-6700

2301 Holmes St
Kansas City, MO 64108

7900 Lees Summit Rd
Ofc
Kansas City, MO 64139
Phone (816) 404-9030

2301 Holmes St
Fl 1
Kansas City, MO 64108

2211 Charlotte St
Ste 300
Kansas City, MO 64108
Phone (816) 404-4100

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ad54ccf5-596b-429b-98f6-1f67d232e0e5/

Organizations & group practices 6

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 1

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": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1134466048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-3744",
            "fax_number": "816-858-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MERSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641281755",
            "telephone_number": "816-404-6700",
            "fax_number": "816-404-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013000996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.