Individual provider Active NPI

Rebecca McCullough, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1306376009
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone
(816) 404-7600
Fax
(816) 404-7612
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2017025357 MO
Physician Assistant 363A00000X 2017025357 MO
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7900 Lees Summit Rd
Kansas City, MO 64139-1236

Mailing address

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

Other practice location 1

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 318-1932

Other practice location 2

2750 Clay Edwards Dr Ste 600B
North Kansas City, MO 64116-3258
Phone (816) 453-4000

Other identifiers 1

IdentifierTypeStateIssuer
220049696MedicaidMO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170731001028 MO Practitioner - Physician Assistant 4981974599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

9151 NE 81St Ter
Kansas City, MO 64158-1307

Hospital & facility affiliations

  • University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102
  • Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2017025357MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center Incorporated Current Accepting new patients
Meritas Health Corporation CurrentSince May 21, 2024 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jan 3, 2018 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jan 3, 2018 Accepting new patients
Meritas Health Corporation CurrentSince May 21, 2024 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation PastSince Apr 21, 2024 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2750 Clay Edwards Dr
Ste 600B
North Kansas City, MO 64116
Phone (816) 453-4000

2750 Hospital Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 453-4000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1306376009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391236",
            "telephone_number": "816-404-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LEES SUMMIT RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641391236",
            "telephone_number": "816-404-7600",
            "fax_number": "816-404-7612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111910",
            "country_code": "US",
            "telephone_number": "913-318-1932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Clay Edwards Dr Ste 600B",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163258",
            "country_code": "US",
            "telephone_number": "816-453-4000",
            "fax_number": "816-842-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2017025357",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017025357",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220049696",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.