Individual provider Active NPI

Caroline Eisenhart

  • Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1326792375
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80798-011 Issued in KS
Practice address
4901 W 136TH St
Leawood, KS 66224-5926
Phone
(913) 393-9729
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-126000-011 KS
Nurse Practitioner 363L00000X 53-80798-011 KS Primary

Addresses

Primary practice location

4901 W 136TH St
Leawood, KS 66224-5926

Mailing address

4901 W 136TH St
Leawood, KS 66224-5926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220609002197 KS Practitioner - Nurse Practitioner 8022496678 Reassigns benefits to 2 organizations
I20230523002573 MO Practitioner - Nurse Practitioner 8022496678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
81.9
Improvement activities
40
Cost
98.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-126000-011KSMDRegistered Nurse
53-80798-011KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology Consultants of Kansas City, PA CurrentSince Apr 4, 2022 Accepting new patients
Saint Luke'S Physician Group Inc Nurse Practitioner CurrentSince Aug 25, 2025 Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

4901 W 136th St
Overland Park, KS 66224
Phone (913) 890-7280

7246 W 75th St
Overland Park, KS 66204
Phone (913) 222-8370

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

5830 NW Barry Rd
Kansas City, MO 64154
Phone (816) 880-6441

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1326792375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W 136TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W 136TH ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245926",
            "telephone_number": "913-393-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHART",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-126000-011",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-80798-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.