Anna Shuck, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53-79113-062 Issued in KS

Practice address

720 1St Ter
Lansing, KS 66043-1704

Phone

(913) 682-5588

NPI assigned

Nov 11, 2019

Last updated

Nov 11, 2019By 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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KS

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leavenworth Family Health CenterGroup PAC ID 8628973740, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint John Hospital Hospital, Leavenworth, KS, CCN 170009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Leavenworth Family Health Center

  • Family Medicine Physician
  • Lansing, KS
  • NPI 1255446480
  Medicare reassignment Care Compare group

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

• Prime Healthcare Services - Saint John Leavenworth, LLC

  dba Saint John Hospital

  • General Acute Care Hospital
  • Leavenworth, KS
  • NPI 1568705267
  Care Compare affiliation

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1346885670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 1ST TER",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660431704",
            "telephone_number": "913-682-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCK",
        "first_name": "ANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "53-79113-062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF NURSING",
            "identifier": "53-79113-062",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lansing",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 1st Ter",
            "city": "Lansing",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660431704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.leavenworthlansingfamilyhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "intraoffice mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 1st Ter",
            "city": "Lansing",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660431704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holli Lynn Scott, FNP
• Select Physical Therapy Holdings, Inc. (Select Physical Therapy)
• Serc of Lansing
• Serc Rehabilitation Partners LLC
• Deborah Sue Shaddy, M.S., LMHP
• Smith Chiropractic Inc
• Ryan Phillip Smith, D.C
• Sophia Center, LLC
• Mariah Stein, PT, DPT
• Linda A Stelter, RPT

• Family Medicine Physician in Lansing, KS
• Providers in Lansing, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.