Natalie Duncan, PA-C
Individual provider Active NPI Physician Assistant · Riverside, MO
NPI 1265293153 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1265293153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1805 NW Platte Rd Ste 120
Riverside, MO 64150-7500 - Phone
- (816) 205-8120
- NPI assigned
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Creighton University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epiphany Dermatology of Missouri LLC
Practice addresses (Care Compare)
1805 NW Platte Rd
Suite 120
Riverside, MO 64150-7500
Phone (816) 205-8120
2325 Dougherty Ferry Rd
Suite 201
Saint Louis, MO 63122-3356
Phone (314) 993-1714
805 N 36TH St
Suite D
Saint Joseph, MO 64506-2954
Phone (816) 205-8120
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240328003136 | MO | Practitioner - Physician Assistant | 1355789140 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1805 NW Platte Rd Ste 120
Riverside, MO 64150-7500
Mailing address
7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 628-0465
Other providers in Riverside, MO
- Children'S Mercy Hospital
- Chitra Chinnaswamy
- Neil R Corriston
- Kimberly Cowgill
- Ashley Kate Cummins
- Christopher Ryan Ebberts
- Ericka Jo Eiserer
- Trisha Evans
- Mackenzie Marie Freeman
- Steven Jeremiah Frost
All providers in Riverside, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.