Jodie Carpenter, NP-C
Individual provider Active NPI Family Nurse Practitioner · Excelsior Springs, MO
NPI 1285016295 · NPPES record last updated Dec 9, 2016
Key facts
- NPI
- 1285016295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2015018032 (MO)
- Practice address
- 199 S. McCleary Rd
Excelsior Springs, MO 64024 - Phone
- (816) 630-6071
- Fax
- (816) 630-4465
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Liberty Hospital Corporation
Practice addresses (Care Compare)
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200
Hospital & facility affiliations
- Liberty Hospital
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 |
|---|---|---|---|---|
| I20160621001760 | MO | Practitioner - Nurse Practitioner | 0143511261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015018032 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Liberty Hospital Corporation | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Current |
Accepting new patients | |
| New Liberty Hospital Coporation | Current |
Accepting new patients | |
| New Liberty Hospital Coporation | Past | Accepting new patients |
Locations
199 S McCleary Rd
Excelsior Springs, MO 64024
Phone (816) 407-4700
199 S McCleary Rd
Ste 100
Excelsior Springs, MO 64024
Phone (816) 407-4700
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555
Interoperability endpoints
- jodie.carpenternp.p5@direct.nlhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015018032 | MO | Yes |
Addresses
Primary practice location
199 S. McCleary Rd
Excelsior Springs, MO 64024
Mailing address
PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 360-6071
Other providers in Excelsior Springs, MO
- Robert Lee Buzard
- Vinesha V Byers
- Danielle Lynn Callen
- Robert Jay Cantor
- Caring Chiropractic
- Ashley Carter
- Suthon Chatkupt
- City of Excelsior Springs
- Jessica Maxine Clevenger
- Stacia Conrick
All providers in Excelsior Springs, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2016. 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.