Active NPI
Samantha Kaye Irwin, NP
- Family Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F12201042
- Practice address
- 2330 E Meyer Blvd
Kansas City, MO 64132-1132 - Phone
- (816) 756-2651
- NPI assigned
- Oct 15, 2020
- Last updated
- May 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F12201042 | MO | Primary |
| General Practice Registered Nurse | 163WG0000X | 2009015723 | MO |
Addresses
Primary practice location
2330 E Meyer Blvd
Kansas City, MO 64132-1132
Mailing address
2330 E Meyer Blvd
Kansas City, MO 64132-1132
Phone (816) 756-2651
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19550 E 39TH St S
Suite 200
Independence, MO 64057-2358
Phone (816) 524-1700
2100 SE Blue Pkwy
Lee's Summit Medical Center
Lee's Summit, MO 64063-1007
Phone (816) 282-5150
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009015723 | MO | MD | General Practice Registered Nurse |
| F12201042 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Research Neurology Associates LLC | Current | Accepting new patients | |
| Kansas City Neurology Associates LLC | Current | Accepting new patients | |
| Kansas City Clinical Neurology Associates, LTD. | Past | Accepting new patients |
Locations
2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
1500 State St
Lexington, MO 64067
Phone (660) 259-2203
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- samantha.irwin@hca2.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Lee's Summit, MO
- NPI 1932273737
-
- Neurology Physician
- Kansas City, MO
- NPI 1811012958
-
- Neurology Physician
- Lee's Summit, MO
- NPI 1922040799
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba Home Health by John Knox Village
- Home Health Agency
- Lee's Summit, MO
- NPI 1770587040
-
dba Lee's Summit Medical Center
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1225085871
-
dba Research Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1144828716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 E MEYER BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321132",
"telephone_number": "816-756-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 E MEYER BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321132",
"telephone_number": "816-756-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "SAMANTHA",
"middle_name": "KAYE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F12201042",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MO",
"license": "2009015723",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.