Active NPI
Courtney Michelle Roberts, FNP-C
- Family Nurse Practitioner
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021037330
- Practice address
- 19600 E 39TH St S
Independence, MO 64057-2301 - Phone
- (913) 222-9779
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 81082 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2021037330 | MO | Primary |
Addresses
Primary practice location
19600 E 39TH St S
Independence, MO 64057-2301
Mailing address
642 SW Crestview Dr
Grain Valley, MO 64029-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276
9100 Park St
Lenexa, KS 66215-3353
Phone (816) 822-0050
Hospital & facility affiliations
- Residential Home Health of Kansas
- Specialized Home Care
- Advanced Home Health and Hospice Kansas City
- St Lukes Hospital of Kansas City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| Care Alternatives of Missouri, LLC | Current | Accepting new patients | |
| P&C Healthcare LLC | Current | Accepting new patients | |
| CH Specialty Services Mo LLC | Current | Accepting new patients | |
| Care Alternatives of Missouri, LLC | Current | Accepting new patients | |
| CH Specialty Services KS LLC | Current | Accepting new patients | |
| P & C Consultant Services | Past | Accepting new patients |
Locations
12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808
9100 Park St
Ste 280
Lenexa, KS 66215
9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900
4550 W 109th St
Ste 210
Overland Park, KS 66211
Phone (913) 287-5678
5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
783 NE Anderson Ln
Lees Summit, MO 64064
Phone (816) 584-8111
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
65 Jackson Dr
Ste 103
Cranford, NJ 07016
Phone (908) 931-9068
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHAEDD
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lees Summit, MO
- NPI 1194422253
-
- Community Based Hospice Care Agency
- Lees Summit, MO
- NPI 1285696013
-
- Hospitalist Physician
- Independence, MO
- NPI 1124575923
-
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1609915164
-
- Internal Medicine Physician
- Lenexa, KS
- NPI 1770282188
-
- Pulmonary Disease Physician
- Independence, MO
- NPI 1073204673
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Independence, MO
- NPI 1427478213
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
- Home Health Agency
- Leawood, KS
- NPI 1275512725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1235891789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 SW CRESTVIEW DR",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640295000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E 39TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572301",
"telephone_number": "913-222-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "COURTNEY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "81082",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021037330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.