Individual provider Active NPI

Melissa Sue Woods, APRN

  • Adult Health Nurse Practitioner
  • Shawnee Mission, KS
National Provider Identifier
1306245006
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
76496 Issued in KS
Practice address
8901 W 74TH St Ste 269
Shawnee Mission, KS 66204-2202
Phone
(913) 632-9810
Fax
(913) 632-9828
NPI assigned
Aug 19, 2014
Last updated
May 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 76496 KS Primary

Addresses

Primary practice location

8901 W 74TH St Ste 269
Shawnee Mission, KS 66204-2202

Mailing address

8901 W 74TH St Ste 269
Shawnee Mission, KS 66204-2202
Phone (913) 632-9810

Other practice location 1

8800 W 75th St
Suite 100
Shawnee Mission, KS 66204-2205
Phone (913) 632-9810

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
I20141016002099 KS Practitioner - Nurse Practitioner 8022239086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 W 74TH St
Merriam, KS 66204-4004

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76496KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince Sep 3, 2014 Accepting new patients

Locations

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

7450 Kessler St
Ste 204
Shawnee Msn, KS 66204
Phone (913) 632-9770

7450 Kessler St
Ste 205
Shawnee Msn, KS 66204
Phone (913) 632-9810

8800 W 75th St
Ste 100
Shawnee Msn, KS 66204
Phone (913) 384-4200

8901 W 74th St
Ste 269
Shawnee Msn, KS 66204
Phone (913) 632-9810

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Interoperability endpoints

  • Direct secure messaging: mwoods1149142@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1306245006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST STE 269",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042202",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST STE 269",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042202",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 W 75th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Shawnee Mission",
            "state": "KS",
            "postal_code": "662042205",
            "country_code": "US",
            "telephone_number": "913-632-9810",
            "fax_number": "913-632-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "76496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.