Tereasa Lynnette Pickert, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15-01416 Issued in KS

Practice address

4801 College Blvd
Leawood, KS 66211-1628

Phone

(913) 956-2250

NPI assigned

Sep 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

CH Specialty Services KS LLCGroup PAC ID 6800261819, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• CH Specialty Services KS LLC

  • Internal Medicine Physician
  • Lenexa, KS
  • NPI 1770282188
  Medicare reassignment Care Compare group
• Curana Health of Missouri-Kansas LLC

  • Family Medicine Physician
  • Lees Summit, MO
  • NPI 1306165337

  KS

  Medicare reassignment Care Compare group
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195

  KS

  Medicare reassignment
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Baltimore, MD
  • NPI 1316829146
  NPD
• Carondelet Orthopaedic Surgeons PA

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1356374805
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1245549278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64114",
            "telephone_number": "816-943-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111628",
            "telephone_number": "913-956-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Carondelet Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144698",
            "country_code": "US",
            "telephone_number": "913-956-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKERT",
        "first_name": "TEREASA",
        "middle_name": "LYNNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J Gordon DDS PA
• Evan Alan Phillips, O.D.
• Stacy D. Phillips, O.D.
• Physical Medicine and Rehab Experts LLC
• Physicians Reference Laboratory
• Molly R. Pierce, L.P.C., N.C.C.
• Kevin P Pikey, D.O.
• Yelena Pinzur, D.O.
• Lisa L Pioli, D.O.
• Trenton Pirner

• Physician Assistant in Leawood, KS
• Providers in Leawood, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.

Verify at the official NPI Registry.