Individual provider Active NPI

Priscillia Adaugo Obasi, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1225598170
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018041864 Issued in MO
Practice address
315 W 75TH St
Kansas City, MO 64114-5738
Phone
(816) 361-4668
NPI assigned
Mar 25, 2019
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 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 2018041864 MO Primary

Addresses

Primary practice location

315 W 75TH St
Kansas City, MO 64114-5738

Mailing address

6807 E 144TH PL
Grandview, MO 64030-4140
Phone (816) 878-1893

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
I20220225000605 MO Practitioner - Nurse Practitioner 4486048030 Reassigns benefits to 3 organizations
I20220630001369 KS Practitioner - Nurse Practitioner 4486048030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018041864MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA CurrentSince Jul 1, 2022 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Jul 1, 2022 Accepting new patients
Vpa PC CurrentSince Aug 8, 2024 Accepting new patients
Theoria Medical CurrentSince Sep 25, 2024 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Jan 11, 2022 Accepting new patients
Vpa PC CurrentSince Aug 8, 2024 Accepting new patients
Mi Pacs 2 PC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1731 N 90th St
Kansas City, KS 66112
Phone (913) 732-5900

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

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

315 W 75th St
Kansas City, MO 64114
Phone (816) 361-4639

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1225598170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 E 144TH PL",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304140",
            "telephone_number": "816-878-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 75TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641145738",
            "telephone_number": "816-361-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASI",
        "first_name": "PRISCILLIA",
        "middle_name": "ADAUGO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018041864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.