Active NPI
Paige Marie Moore, CAA
- Anesthesiologist Assistant
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 901 E 104TH St
Kansas City, MO 64131-4517 - Phone
- (816) 888-8888
- NPI assigned
- Apr 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | MO | Primary |
Addresses
Primary practice location
901 E 104TH St
Kansas City, MO 64131-4517
Mailing address
901 E 104TH St
Kansas City, MO 64131-4517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210726001443 | MO | Practitioner - Anesthesiology Assistant | 1557764719 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- University of Missouri, Kansas City, School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients |
Locations
4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- pmoore414738@direct.saint-lukes.org
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
Hospital
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1154900702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-888-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "PAIGE",
"middle_name": "MARIE",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": null,
"primary": true
}
],
"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 Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.