Individual provider Active NPI

Walter Northrup George IV, NP-C

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1245725639
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018020749 Issued in MO
Practice address
3801 Blue Pkwy
Kansas City, MO 64130-2807
Phone
(816) 923-5800
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78255 KS
Nurse Practitioner 363L00000X 2018020749 MO Primary

Addresses

Primary practice location

3801 Blue Pkwy
Kansas City, MO 64130-2807

Mailing address

4902 Belinder Rd
Westwood, KS 66205-1938
Phone (816) 878-7261

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
I20180731001758 MO Practitioner - Nurse Practitioner 2567710064 Reassigns benefits to 2 organizations
I20180731001931 KS Practitioner - Nurse Practitioner 2567710064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3130 Mersington Ave
Kansas City, MO 64128-1755
Phone (816) 404-6700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018020749MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Jul 9, 2018 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jul 25, 2022 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jul 25, 2022 Accepting new patients
Swope Health Services CurrentSince Jul 9, 2018 Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Jul 9, 2018 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
University Health Physicians Past Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

2301 Charlotte St
Kansas City, MO 64108
Phone (816) 404-3855

2301 Holmes St
Kansas City, MO 64108

3130 Mersington Ave
Kansas City, MO 64128
Phone (816) 404-6700

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1245725639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 BELINDER RD",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662051938",
            "telephone_number": "816-878-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BLUE PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "WALTER",
        "middle_name": "NORTHRUP",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78255",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018020749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.