Active NPI
Molly Bea Menser, D.O.
- Dermatology Physician
- Riverside, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2011009214
- Practice address
- 1805 NW Platte Rd
Suite 120
Riverside, MO 64150-9613 - Phone
- (816) 472-0400
- Fax
- (816) 472-0813
- NPI assigned
- Jun 8, 2007
- Last updated
- Oct 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2011009214 | MO | Primary |
Addresses
Primary practice location
1805 NW Platte Rd
Suite 120
Riverside, MO 64150-9613
Mailing address
221 W 48TH St
#1507
Kansas City, MO 64112-2680
Phone (913) 956-9909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 NW Platte Rd
Suite 120
Riverside, MO 64150-7500
Phone (816) 205-8120
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.84 of 100
- Quality
- 80.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 202 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011009214 | MO | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of Missouri, LLC | Dermatology | Current | Accepting new patients |
Locations
1805 NW Platte Rd
Ste 120
Riverside, MO 64150
Phone (816) 205-8120
805 N 36th St
Ste D
Saint Joseph, MO 64506
Phone (816) 205-8120
2325 Dougherty Ferry Rd
#201
Saint Louis, MO 63122
Phone (314) 993-1714
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
7300 Ranch Road 2222
Ste 200
Austin, TX 78730
Interoperability endpoints
- mmenser@epiphanyderm.emadirect.md
- mmenser@epiphanykc.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1528573342
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Skilled Nursing Unit
- Skilled Nursing Facility
- North Kansas City, MO
- NPI 1437103215
Hospital
-
dba NKC Health
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1306049010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W 48TH ST",
"address_2": "#1507",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122680",
"telephone_number": "913-956-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 NW PLATTE RD",
"address_2": "SUITE 120",
"city": "RIVERSIDE",
"state": "MO",
"postal_code": "641509613",
"telephone_number": "816-472-0400",
"fax_number": "816-472-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSER",
"first_name": "MOLLY",
"middle_name": "BEA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2011009214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, MO
- Rachel Lynn Kimmich, PT, DPT
- Bethany Knauth
- Darren Lea, PHARM.D.
- Brian Martin Matthys, D.O.
- Medical One Inc
- Meritas Health Occupational Medicine, Inc (Meritas Health Occupational Medicine - Riverside)
- Michael D Arnett, DDS, PC (Briarcliff Dental Care)
- Robert Alan Mitchell, PT, BSPT
- Brittany Neri, ATC, LAT
- Morgan Lyn Newman, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.