Individual provider Active NPI

William Russell Czeschin, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1164949145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010031892 Issued in MO
Practice address
4321 Washington St Ste 3000
Kansas City, MO 64111-5928
Phone
(816) 932-3100
Fax
(816) 932-6871
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2010031892 MO
Registered Nurse 163W00000X 14-141112-051 KS
Family Nurse Practitioner 363LF0000X 2010031892 MO Primary

Addresses

Primary practice location

4321 Washington St Ste 3000
Kansas City, MO 64111-5928

Mailing address

901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64131
Phone (816) 502-7104

Other practice location 1

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000 ext. 25186

Other practice location 2

1218 E 99th St
Kansas City, MO 64131-3306
Phone (816) 716-1505

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
I20171130000239 MO Practitioner - Nurse Practitioner 4486911419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Gate City Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6001
Phone (816) 347-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-141112-051KSMDRegistered Nurse
2010031892MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jan 8, 2018 Accepting new patients

Locations

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

4321 Washington St
Ste 3000
Kansas City, MO 64111
Phone (816) 932-3100

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

20 NE Saint Lukes Blvd
Ste 200
Lees Summit, MO 64086
Phone (816) 347-5100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Interoperability endpoints

  • Direct secure messaging: wczeschin9279@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 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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164949145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 104TH ST.",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7104",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 3000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115928",
            "telephone_number": "816-932-3100",
            "fax_number": "816-932-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113220",
            "country_code": "US",
            "telephone_number": "816-932-2000 x25186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 E 99th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641313306",
            "country_code": "US",
            "telephone_number": "816-716-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZESCHIN",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2010031892",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-141112-051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010031892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.