Individual provider Active NPI

Marianne Elizabeth McCorkill, APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1366940439
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019016092 Issued in MO
Practice address
4321 Washington St Ste 6100
Kansas City, MO 64111-5901
Phone
(816) 932-3470
Fax
(816) 932-3437
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-78004-031 KS
Family Nurse Practitioner 363LF0000X 2019016092 MO Primary

Addresses

Primary practice location

4321 Washington St Ste 6100
Kansas City, MO 64111-5901

Mailing address

4321 Washington St Ste 6100
Kansas City, MO 64111-5901
Phone (816) 932-3470

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
I20180404001469 KS Practitioner - Nurse Practitioner 6406119429 Reassigns benefits to 2 organizations
I20190530001053 MO Practitioner - Nurse Practitioner 6406119429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (913) 323-4600

4321 Washington
6100 Saint Luke'S Endocrinology and Diabetes
Kansas City, MO 64111-5928
Phone (816) 932-3470

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

Merit-based Incentive Payment System (MIPS)

Final score
81.14 of 100Reported as group
Quality
77.55
Improvement activities
40
Cost
67.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-78004-031KSMDFamily Nurse Practitioner
2019016092MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jun 3, 2019 Accepting new patients
Capstone Orthopedics & Sports Medicine CurrentSince Jun 1, 2019 Accepting new patients

Locations

1818 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 662-6000

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

4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600

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

600 NE Adams Dairy Pkwy
Ste 200
Blue Springs, MO 64014
Phone (816) 347-4600

4321 Washington St
Ste 6100
Kansas City, MO 64111
Phone (816) 932-2707

901 E 104th St
Stop 400N
Kansas City, MO 64131

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

Interoperability endpoints

  • Direct secure messaging: mmccorkill6965@direct.saint-lukes.org

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1366940439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 6100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115901",
            "telephone_number": "816-932-3470",
            "fax_number": "816-932-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST STE 6100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115901",
            "telephone_number": "816-932-3470",
            "fax_number": "816-932-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKILL",
        "first_name": "MARIANNE",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78004-031",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019016092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.