Kylie Dishman

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2007023567 Issued in MO

Practice address

5210 N Belt Hwy
Saint Joseph, MO 64506-1211

Phone

(816) 271-7077

Fax

(816) 271-0421

NPI assigned

Feb 10, 2015

Last updated

Mar 17, 2018By the provider in NPPES

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

University of Missouri, Kansas City, School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

74.35

Promoting interoperability

100

Improvement activities

40

Cost

74.85

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kylie.dishman@direct.mymlc.com

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.

• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  Medicare reassignment Care Compare group NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1538200357
  NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care at St. Joseph Acute Rehab

  • Rehabilitation Hospital Unit
  • Saint Joseph, MO
  • NPI 1841385093
  NPD

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

• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346631520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062410",
            "telephone_number": "816-271-7077",
            "fax_number": "816-271-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "816-271-7077",
            "fax_number": "816-271-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISHMAN",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007023567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Lee Deyoung
• Ashley Dickerson
• Mercy Dickson
• Elena Dimiceli, M.D.
• Frederick Dimmel III, CRNA
• Kaley Irene Dittemore
• Diversicare of Chateau LLC (St. Joseph Chateau)
• Diversicare of Riverside, LLC (Riverside Place)
• Diversicare of St. Joseph, LLC (Diversicare of St. Joseph)
• Alexa Dixon

• Registered Nurse in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.