Individual provider Active NPI

Samantha Kaye Irwin, NP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1144828716
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12201042 Issued in MO
Practice address
2330 E Meyer Blvd
Kansas City, MO 64132-1132
Phone
(816) 756-2651
NPI assigned
Oct 15, 2020
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304001546 MO Practitioner - Nurse Practitioner 1850707506 Reassigns benefits to 2 organizations

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
Kansas City Neurology Associates LLCGroup PAC ID 9739284381, 4 clinicians

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

LicenseStateTypeSpecialty
2009015723MOMDGeneral Practice Registered Nurse
F12201042MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Research Neurology Associates LLC CurrentSince Feb 24, 2021 Accepting new patients
Kansas City Neurology Associates LLC CurrentSince Apr 10, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.