Individual provider Active NPI

Andrea E Rose, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1134597784
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015030562 Issued in MO
Practice address
1000 Carondelet Dr
Ste 100
Kansas City, MO 64114
Phone
(816) 941-9030
Fax
(816) 941-3866
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2015030562 MO
Family Nurse Practitioner 363LF0000X 2015030562 MO Primary

Addresses

Primary practice location

1000 Carondelet Dr
Ste 100
Kansas City, MO 64114

Mailing address

1004 Carondelet Dr Ste 440
Kansas City, MO 64114-4845
Phone (816) 943-7777

Other practice location 1

1004 Carondelet Dr Ste 400
Kansas City, MO 64114-4801
Phone (816) 943-7777

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
I20151117000241 KS Practitioner - Nurse Practitioner 6305156621 Reassigns benefits to 1 organization
I20160614000558 MO Practitioner - Nurse Practitioner 6305156621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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

Practice addresses (Care Compare)

4321 Washington
3000 Saint Luke'S Internal Medicine
Kansas City, MO 64111-5928
Phone (816) 932-3100

Hospital & facility affiliations

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince Apr 1, 2017 Accepting new patients
Carondelet Eye Care Associates PC Past Accepting new patients
Saint Luke'S Neighborhood Clinics, LLC Past Accepting new patients
Ascentist Physicians Group, LLC PastSince Apr 1, 2017 Accepting new patients

Locations

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1004 Carondelet Dr
Ste 400
Kansas City, MO 64114
Phone (816) 942-8333

1000 Carondelet Dr
Ste 100
Kansas City, MO 64114
Phone (816) 941-9030

1004 Carondelet Dr
Ste 440
Kansas City, MO 64114
Phone (816) 943-7777

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

Interoperability endpoints

  • Direct secure messaging: arose668749@direct.saint-lukes.org

Organizations & group practices 5

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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1134597784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 440",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144845",
            "telephone_number": "816-943-7777",
            "fax_number": "816-943-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "address_2": "STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-941-9030",
            "fax_number": "816-941-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Carondelet Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144801",
            "country_code": "US",
            "telephone_number": "816-943-7777",
            "fax_number": "816-943-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ANDREA",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015030562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015030562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.