Individual provider Active NPI

Elizabeth Gatrost, NP

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1134685258
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018042024 Issued in MO
Practice address
100 NW Mock Ave Ste 200
Blue Springs, MO 64014-2500
Phone
(816) 228-1000
Fax
(816) 463-6035
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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 2018042024 MO Primary

Addresses

Primary practice location

100 NW Mock Ave Ste 200
Blue Springs, MO 64014-2500

Mailing address

100 NW Mock Ave Ste 200
Blue Springs, MO 64014-2500
Phone (816) 228-1000

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
I20190313002582 MO Practitioner - Nurse Practitioner 1557601341 Reassigns benefits to 1 organization

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, 2019 Accepting new patients
Prime Healthcare Physician Services - Providence Inc Past Accepting new patients
Prime Healthcare Physician Services - Providence Inc PastSince Sep 20, 2020 Accepting new patients

Locations

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

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

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1134685258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW MOCK AVE STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142500",
            "telephone_number": "816-228-1000",
            "fax_number": "816-463-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATROST",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018042024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.