Tricia Aubrey Cunningham
Individual provider Active NPI Family Nurse Practitioner · Clay Center, KS
NPI 1316608458 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1316608458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 80593 (KS)
- Practice address
- 617 Liberty St
Clay Center, KS 67432-1564 - Phone
- (785) 632-2144
- NPI assigned
- Dec 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
Practice addresses (Care Compare)
7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-7070
Hospital & facility affiliations
- University of Kansas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20220107001809 | KS | Practitioner - Nurse Practitioner | 0547652232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80593 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians, Inc. | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 80593 | KS | Yes |
Addresses
Primary practice location
617 Liberty St
Clay Center, KS 67432-1564
Mailing address
2515 S Ohio St Apt 223
Salina, KS 67401-7888
Phone (785) 342-1871
Other providers in Clay Center, KS
- Kyle Converse
- Tammera Converse
- County of Clay
- County of Clay
- Mary Kay Cummins
- Emily Elizabeth Ebert
- Erickson Medical Clinic, LLC
- Kent Edwin Erickson
- Joseph Garrett Ferguson
- Jericho Fief
All providers in Clay Center, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. 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.