Individual provider Active NPI

Rachel Anne Koehler, APRN

  • Nurse Practitioner
  • Independence, MO
National Provider Identifier
1255027991
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2023012425 Issued in MO
Practice address
19001 E 48TH St S
Independence, MO 64055-6964
Phone
(816) 251-5100
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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 53-82026-052 KS
Nurse Practitioner 363L00000X 2023012425 MO Primary

Addresses

Primary practice location

19001 E 48TH St S
Independence, MO 64055-6964

Mailing address

9404 W 132ND PL
Overland Park, KS 66213-4337
Phone (402) 319-8524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20230508002511 KS Practitioner - Nurse Practitioner 7113382573 Reassigns benefits to 1 organization
I20230508002607 MO Practitioner - Nurse Practitioner 7113382573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urologic Associates IncGroup PAC ID 7618133778, 14 clinicians

Practice addresses (Care Compare)

12330 Metcalf Ave
Suite 500a
Overland Park, KS 66213-1313
Phone (816) 251-5100

19001 E 48TH St S
Independence, MO 64055-6964
Phone (816) 251-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
85.13
Promoting interoperability
100
Improvement activities
40
Cost
71.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82026-052KSMDNurse Practitioner
2023012425MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urologic Associates, Inc Nurse Practitioner CurrentSince May 15, 2023 Accepting new patients

Locations

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

19001 E 48th St S
Independence, MO 64055
Phone (816) 836-6875

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

110 NE Saint Lukes Blvd
Ste 255
Lees Summit, MO 64086

Organizations & group practices 1

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 5

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1255027991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 W 132ND PL",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134337",
            "telephone_number": "402-319-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 E 48TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556964",
            "telephone_number": "816-251-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82026-052",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023012425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.