Individual provider Active NPI

Roberta L Mott, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1164052015
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020001740 Issued in MO
Practice address
200 NE 54TH St
Suite 111
Kansas City, MO 64118-4338
Phone
(816) 799-0180
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020001740 MO Primary

Addresses

Primary practice location

200 NE 54TH St
Suite 111
Kansas City, MO 64118-4338

Mailing address

4601 W 109TH St Ste 100
Overland Park, KS 66211-1313
Phone (913) 942-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200205002666 MO Practitioner - Nurse Practitioner 2466888706 Reassigns benefits to 1 organization
I20200305001874 KS Practitioner - Nurse Practitioner 2466888706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates MD PAGroup PAC ID 9931012820, 20 clinicians

Practice addresses (Care Compare)

1295 E 151St St
Suite 7
Olathe, KS 66062-3429
Phone (913) 381-0622

Hospital & facility affiliations

  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Miami County Medical Center Hospital, Paola, KS, CCN 170109
  • University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Jan 20, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC CurrentSince Jan 20, 2020 Accepting new patients
Nephrology Associates MD PA CurrentSince Feb 21, 2023 Accepting new patients
Transtreme, LLC Family PastSince Feb 21, 2023 Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

9501 State Ave
Ste 1
Kansas City, KS 66111
Phone (913) 596-1700

1295 E 151st St
Ste 7
Olathe, KS 66062
Phone (913) 381-0622

7840 W 165th St
Ste 280
Overland Park, KS 66223
Phone (913) 381-0622

11111 Nall Ave
Ste 114
Overland Park, KS 66211
Phone (913) 383-1202

4601 W 109th St
Ste 100
Overland Park, KS 66211
Phone (913) 491-0765

8901 W 74th St
Ste 328
Shawnee Msn, KS 66204

1131 SW Winding Rd
Ste 300
Topeka, KS 66615

200 NE 54th St
Unit 111
Kansas City, MO 64118
Phone (816) 455-7400

2340 E Meyer Blvd
Ste 392
Kansas City, MO 64132
Phone (816) 444-7977

2790 Clay Edwards Dr
Ste 410
North Kansas City, MO 64116
Phone (816) 474-9353

Interoperability endpoints

  • Direct secure messaging: roberta.mott.p1@direct.nephkc.nextgenshare.com
  • Direct secure messaging: rmott628465@direct.saint-lukes.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 8

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1164052015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111313",
            "telephone_number": "913-942-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE 54TH ST",
            "address_2": "SUITE 111",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184338",
            "telephone_number": "816-799-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "ROBERTA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020001740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.