Individual provider Active NPI

Melissa Ann Dusenberry, APRN

  • Gerontology Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1174160485
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2019036525 Issued in MO
Practice address
1000 Carondelet Dr Ste 201B
Kansas City, MO 64114-4673
Phone
(913) 956-2250
Fax
(913) 956-2251
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-79077-062 KS
Gerontology Nurse Practitioner 363LG0600X 2019036525 MO Primary
Nurse Practitioner 363L00000X 2019036525 MO

Addresses

Primary practice location

1000 Carondelet Dr Ste 201B
Kansas City, MO 64114-4673

Mailing address

1000 Carondelet Dr Ste 201B
Kansas City, MO 64114-4673
Phone (913) 956-2250

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
I20191230000596 MO Practitioner - Nurse Practitioner 5991139909 Reassigns benefits to 2 organizations
I20240425002831 KS Practitioner - Nurse Practitioner 5991139909 Reassigns benefits to 1 organization

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
Prime Healthcare Kansas City - Physician Services LLC 71 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (913) 956-2250

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-79077-062KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince Jan 1, 2020 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Mar 20, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 2, 2024 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Sep 20, 2020 Accepting new patients
Prime Healthcare Physician Services - Providence Inc PastSince Jan 5, 2020 Accepting new patients
Prime Healthcare Services - Kansas City, LLC PastSince Dec 22, 2019 Accepting new patients

Locations

4801 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-6451

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

1000 Carondelet Dr
Ste 201B
Kansas City, MO 64114
Phone (913) 956-2250

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 6

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1174160485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 201B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 201B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "913-956-2250",
            "fax_number": "913-956-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSENBERRY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-79077-062",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2019036525",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019036525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.