Active NPI
Andrew Coppage, APRN
- Nurse Practitioner
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 53-76084-122
- Practice address
- 4030 Suldler, Mailstop 3007
3901 Rainbow Blvd
Kansas City, KS 66160 - Phone
- (913) 588-6045
- Fax
- (913) 588-4098
- NPI assigned
- Aug 16, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-76084-122 | KS | Primary |
Addresses
Primary practice location
4030 Suldler, Mailstop 3007
3901 Rainbow Blvd
Kansas City, KS 66160
Mailing address
4030 Suldler, Mailstop 3007
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368
20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227
3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775
4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227
4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-76084-122 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| University of Kansas Hospital Authority | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
- Multi-Specialty Clinic/Center
- Kansas City, KS
- NPI 1528019502
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1699811521
-
- Dentist
- Westwood, KS
- NPI 1295845758
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377907200000",
"number": "1174956858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 SULDLER, MAILSTOP 3007",
"address_2": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6045",
"fax_number": "913-588-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4030 SULDLER, MAILSTOP 3007",
"address_2": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "66160",
"telephone_number": "913-588-6045",
"fax_number": "913-588-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPAGE",
"first_name": "ANDREW",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-76084-122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.