Amy Diane Wald, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2016005843 Issued in MO

Practice address

1301 SW Arborwalk Blvd Ste a
Lees Summit, MO 64082-4101

Phone

(816) 537-6232

Fax

(816) 537-9161

NPI assigned

Feb 25, 2016

Last updated

Jan 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Specialist of Lees Summit LLCGroup PAC ID 1355324625, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Midwest Healthcare at Home Home health agency, Kansas City, MO, CCN 267609
• Lee's Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Saint Luke's East Hospital Hospital, Lees Summit, MO, CCN 260216
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.wald@hca2.eclinicaldirectplus.com

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.

• Family Health Specialist of Lee's Summit, LLC

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1871540658
  Medicare reassignment Care Compare group NPD
• Lee's Summit Family Care LLC

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1619923968
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arc Therapy Services LLC

  dba HCA Midwest Healthcare at Home

  • Home Health Agency
  • Kansas City, MO
  • NPI 1881729564
  Care Compare affiliation
• Midwest Division - LSH, LLC

  dba Lee's Summit Medical Center

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - RBH, LLC

  dba Belton Regional Medical Center

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763
  Care Compare affiliation
• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  Care Compare affiliation

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1154781664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SW ARBORWALK BLVD # A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824101",
            "telephone_number": "816-537-6232",
            "fax_number": "816-537-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SW ARBORWALK BLVD STE A",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824101",
            "telephone_number": "816-537-6232",
            "fax_number": "816-537-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2022-01-28",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016005843",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016005843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMY.WALD@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1301 SW Arborwalk Blvd Ste A",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640824101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.

Verify at the official NPI Registry.