Individual provider Active NPI

Marcy Janeen Hoppes, FNP-C

  • Family Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1265190185
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80539-041 Issued in KS
Practice address
16208 Gilman Rd
Leavenworth, KS 66048
Phone
(913) 702-5777
NPI assigned
Dec 8, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-80539-041 KS Primary

Addresses

Primary practice location

16208 Gilman Rd
Leavenworth, KS 66048

Mailing address

16208 Gilman Rd
Leavenworth, KS 66048
Phone (913) 702-5777

Other practice location 1

3550 S 4th St Ste 200
Leavenworth, KS 66048-5009
Phone (913) 680-6442

Other practice location 2

3550 S 4th St Ste B
Leavenworth, KS 66048-5071
Phone (913) 680-6200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220104001584 KS Practitioner - Nurse Practitioner 2860883766 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-80539-041KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc Current Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Ste 200
Leavenworth, KS 66048
Phone (913) 680-6442

3550 S 4th St
Ste B
Leavenworth, KS 66048
Phone (913) 680-6200

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1265190185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16208 GILMAN RD",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-702-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16208 GILMAN RD",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "66048",
            "telephone_number": "913-702-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485009",
            "country_code": "US",
            "telephone_number": "913-680-6442",
            "fax_number": "913-351-1346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485071",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "fax_number": "913-680-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPES",
        "first_name": "MARCY",
        "middle_name": "JANEEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80539-041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.