Active NPI
Amy Astel Waller, APRN-BC
- Nurse Practitioner
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 136973
- Practice address
- 3601 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316 - Phone
- (816) 836-2200
- Fax
- (816) 836-2244
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 29, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 53-45679-011 | KS | |
| Nurse Practitioner | 363L00000X | 136973 | MO | Primary |
Addresses
Primary practice location
3601 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316
Mailing address
3601 NE Ralph Powell Rd Ste a
Lees Summit, MO 64064-2316
Phone (816) 836-2200
Other practice location 1
1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116
Other names 1
- Mrs. Amy Astel Wray
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- 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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 NE Ralph Powell Rd
Lees Summit, MO 64064-2358
Phone (816) 836-2200
3800 S Whitney Ave
Independence, MO 64055-6739
Phone (816) 478-4887
7820 W 165TH St
Advent Health South Hospital
Overland Park, KS 66223-3021
Phone (816) 554-3838
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-45679-011 | KS | MD | Adult Health Nurse Practitioner |
| 136973 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Resources of Jackson Co Inc | Current | Accepting new patients | |
| Rural Health Resources of Jackson Co Inc | Current | Accepting new patients | |
| Digestive Health Specialists, LLC | Current | Accepting new patients | |
| Rural Health Resources of Jackson Co Inc | Current | Accepting new patients | |
| Northland Gastroenterology | Past | Accepting new patients | |
| Midwest Gi Health LLC | Past | Accepting new patients | |
| Rural Health Resources of Jackson Co Inc | Past | Accepting new patients | |
| Summit Gastroenterology LLC | Past | Accepting new patients | |
| Schreier Family Medicine LLC | Past | Accepting new patients |
Locations
1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126
7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846
3800 S Whitney Ave
Ste 100
Independence, MO 64055
110 NE Saint Lukes Blvd
Ste 530
Lees Summit, MO 64086
Interoperability endpoints
- amy.waller.1@16424.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/CAJHCA
Organizations & group practices 9
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.
-
- Gastroenterology Physician
- Lee's Summit, MO
- NPI 1497265078
-
- Multi-Specialty Clinic/Center
- Holton, KS
- NPI 1235238296
-
dba Holton Community Hospital
- Critical Access Hospital
- Holton, KS
- NPI 1902805716
-
- Gastroenterology Physician
- Lee's Summit, MO
- NPI 1821013509
-
dba Family Practice Associates
- Rural Health Clinic/Center
- Wetmore, KS
- NPI 1003152430
-
- Gastroenterology Physician
- Excelsior Springs, MO
- NPI 1093884504
-
- Family Medicine Physician
- Excelsior Springs, MO
- NPI 1841586831
-
dba Family Practice Associates
- Rural Health Clinic/Center
- Holton, KS
- NPI 1639145204
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerpoint Medical Center
- General Acute Care Hospital
- Independence, MO
- NPI 1942247044
-
dba Lee's Summit Medical Center
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1225085871
-
dba Saint Luke's East Lee's Summit Hospital
- General Acute Care Hospital
- Lee's Summit, MO
- NPI 1053353490
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
-
dba Holton Community Hospital
- Critical Access Hospital
- Holton, KS
- NPI 1902805716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1255358875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 NE RALPH POWELL RD STE A",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642316",
"telephone_number": "816-836-2200",
"fax_number": "816-836-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 NE RALPH POWELL RD STE A",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642316",
"telephone_number": "816-836-2200",
"fax_number": "816-836-2244"
}
],
"practiceLocations": [
{
"address_1": "1110 Columbine Dr",
"address_purpose": "LOCATION",
"city": "Holton",
"state": "KS",
"postal_code": "664368824",
"country_code": "US",
"telephone_number": "785-364-2116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLER",
"first_name": "AMY",
"middle_name": "ASTEL",
"name_prefix": "Mrs.",
"credential": "APRN-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "53-45679-011",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "136973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WRAY",
"middle_name": "ASTEL",
"prefix": "MRS.",
"credential": "APRN-BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.