Individual provider Active NPI

Scott Siemsen, APRN

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1215478995
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017007576 Issued in MO
Practice address
20 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6001
Phone
(816) 347-5100
Fax
(816) 347-5136
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 2017007576 MO Primary

Addresses

Primary practice location

20 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6001

Mailing address

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

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
I20170504001101 MO Practitioner - Nurse Practitioner 6406133222 Reassigns benefits to 2 organizations
I20210525000890 KS Practitioner - Nurse Practitioner 6406133222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
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
350 Saint Lukes Medical Group
Lee's Summit, MO 64086-6001
Phone (816) 347-5600

5405 W 151St St
SLMG Blue Valley
Leawood, KS 66224-8700
Phone (913) 323-8830

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Nov 11, 2019 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Apr 27, 2017 Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

5405 W 151st St
Leawood, KS 66224
Phone (913) 323-8830

12541 Foster St
Ste 300
Overland Park, KS 66213
Phone (913) 317-3200

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

3351 SW 3rd St
Lees Summit, MO 64081
Phone (816) 966-1455

20 NE Saint Lukes Blvd
Ste 350
Lees Summit, MO 64086
Phone (816) 347-5600

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: ssiemsen378573@direct.saint-lukes.org

Organizations & group practices 2

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1215478995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-347-5100",
            "fax_number": "816-347-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-347-5100",
            "fax_number": "816-347-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMSEN",
        "first_name": "SCOTT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.