NPIMap

Individual provider Active NPI

Justyn Michelle Witt

  • Women's Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1174279186
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2022006636 Issued in MO
Practice address
2211 Charlotte St Ste 300
Kansas City, MO 64108-2733
Phone
(816) 404-4966
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2022006636 MO Primary

Addresses

Primary practice location

2211 Charlotte St Ste 300
Kansas City, MO 64108-2733

Mailing address

9623 N Wayne Ave
Kansas City, MO 64155-2175
Phone (816) 682-5025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address justyn.witt@tmcmed.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517001344 MO Practitioner - Nurse Practitioner 6204213093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2211 Charlotte St
Kansas City, MO 64108-2733
Phone (816) 404-4966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022006636MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince May 21, 2022 Accepting new patients
Truman Medical Center, Incorporated CurrentSince May 21, 2022 Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

2211 Charlotte St
Ste 300
Kansas City, MO 64108
Phone (816) 404-4100

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2211 Charlotte St
Kansas City, MO 64108
Phone (816) 404-4966

Organizations & group practices 10

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": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1174279186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 N WAYNE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552175",
            "telephone_number": "816-682-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHARLOTTE ST STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082733",
            "telephone_number": "816-404-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "JUSTYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2022006636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justyn.witt@tmcmed.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2211 Charlotte St Ste 300",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641082733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.