Individual provider Active NPI

Patricia Elaine Fletcher, APRN

  • Acute Care Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1154842821
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2017040278 Issued in MO
Practice address
2521 Glenn Hendren Dr Ste 306
Liberty, MO 64068-3388
Phone
(816) 407-5430
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 77963 KS
Acute Care Nurse Practitioner 363LA2100X 2017040278 MO Primary

Addresses

Primary practice location

2521 Glenn Hendren Dr Ste 306
Liberty, MO 64068-3388

Mailing address

2521 Glenn Hendren Dr Ste 306
Liberty, MO 64068-3388
Phone (816) 407-5430

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
I20180824001135 MO Practitioner - Nurse Practitioner 0244595213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

8380 N Tullis Ave
Suite 300
Kansas City, MO 64158-5114
Phone (816) 415-3451

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
69.99
Promoting interoperability
99
Improvement activities
40
Cost
68.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77963KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation Current Accepting new patients
New Liberty Hospital Coporation CurrentSince Nov 6, 2023 Accepting new patients
New Liberty Hospital Coporation CurrentSince Nov 6, 2023 Accepting new patients
New Liberty Hospital Corporation Past Accepting new patients

Locations

8380 N Tullis Ave
Ste 300
Kansas City, MO 64158
Phone (816) 415-3451

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2521 Glenn Hendren Dr
Ste 306
Liberty, MO 64068
Phone (816) 407-5430

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

Interoperability endpoints

  • Direct secure messaging: patricia.fletcheraprn.p1@direct.nlhc.nextgenshare.com

Organizations & group practices 4

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 1

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1154842821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR STE 306",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-407-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR STE 306",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-407-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "77963",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2017040278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.