Lisa Wiley, APRN-C

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2024005886 Issued in MO

Practice address

2340 E Meyer Blvd, BLDG 2 Suite 480
Kansas City, MO 64132-1116

Phone

(816) 276-1700

Fax

(816) 276-1703

NPI assigned

Feb 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiorenal Vision of Missouri LLCGroup PAC ID 4789188442, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
  • NPI 1285529289
  Medicare reassignment Care Compare group NPD
• Midtown Family Medicine PC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1376784835
  NPD

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

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - RMC, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke'S Hospital of Kansas City

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1346005337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD, BLDG 2 SUITE 480",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321116",
            "telephone_number": "816-276-1700",
            "fax_number": "816-276-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MEYER BLVD, BLDG 2 SUITE 480",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321116",
            "telephone_number": "816-276-1700",
            "fax_number": "816-276-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LISA",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2024005886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wilcoxon
• Shirley Elaine Wilcoxon, LPC
• Joshua Coleman Wilcoxson, DO
• Stephen B. Wiles, MD
• Breanna Wiley
• Taylor Wiley
• Julie Wilhauk, FNP
• Sharon Rose Wilkerson-Amendell, M.D.
• Adam G Wilkerson, DC
• Kalaa' Wilkerson

• Nephrology Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.

Verify at the official NPI Registry.