Individual provider Active NPI

Courtney Michelle Roberts, FNP-C

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1235891789
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021037330 Issued in MO
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

Updated by the provider on May 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20211201000127 MO Practitioner - Nurse Practitioner 5890185110 Reassigns benefits to 4 organizations
I20240430002765 KS Practitioner - Nurse Practitioner 5890185110 Reassigns benefits to 3 organizations

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
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

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 Home health agency, Leawood, KS, CCN 178067
  • Specialized Home Care Home health agency, Independence, MO, CCN 267653
  • Advanced Home Health and Hospice Kansas City Hospice, Kansas City, MO, CCN 261695
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Missouri-Kansas LLC CurrentSince Feb 28, 2024 Accepting new patients
Care Alternatives of Missouri, LLC CurrentSince Dec 9, 2024 Accepting new patients
P&C Healthcare LLC CurrentSince Oct 15, 2021 Accepting new patients
CH Specialty Services Mo LLC CurrentSince Jul 5, 2023 Accepting new patients
Care Alternatives of Missouri, LLC CurrentSince Dec 9, 2024 Accepting new patients
CH Specialty Services KS LLC CurrentSince Apr 24, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD
  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.