Individual provider Active NPI

Mary Christine Cummings

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1376932384
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-76661 Issued in KS
Practice address
4320 Wornall Rd Ste 50
Kansas City, MO 64111
Phone
(816) 931-3312
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-76661 KS Primary

Addresses

Primary practice location

4320 Wornall Rd Ste 50
Kansas City, MO 64111

Mailing address

4320 Wornall Rd Ste 50
Kansas City, MO 64111-5943
Phone (816) 931-3313

Other names 1

  • Mary Christine Pomerenke Former name

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
I20150216000066 KS Practitioner - Nurse Practitioner 2264757236 Reassigns benefits to 1 organization
I20170914003817 MO Practitioner - Nurse Practitioner 2264757236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Surgeons of Kansas City IncGroup PAC ID 5193878072, 36 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone (816) 931-3312

110 NE Saint Lukes Blvd
Suite 245
Lees Summit, MO 64086-6000
Phone (816) 932-2585

20 NE Saint Lukes Blvd
Suite 150
Lees Summit, MO 64086-6001
Phone (816) 931-3312

4320 Wornall Rd
Kansas City, MO 64111-5941
Phone (816) 932-2000

4320 Wornall Rd
2000 Saint Lukes Clinic
Kansas City, MO 64111-5939
Phone (816) 932-8258

4330 Wornall Rd
Suite 50
Kansas City, MO 64111-3201
Phone (816) 931-3312

4401 Wornall Rd
Mid Heart Lung
Kansas City, MO 64111-3220
Phone (816) 931-3312

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
86.25
Promoting interoperability
100
Improvement activities
40
Cost
77.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-76661KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Surgeons of Kansas City, Inc. CurrentSince Nov 6, 2017 Accepting new patients
Saint Luke'S Physician Group Inc Nurse Practitioner Past Accepting new patients

Locations

4320 Wornall Rd
Ste 50
Kansas City, MO 64111
Phone (816) 531-5510

4320 Wornall Rd
Ste 2000
Kansas City, MO 64111
Phone (816) 932-8258

20 NE Saint Lukes Blvd
Ste 150
Lees Summit, MO 64086
Phone (816) 347-4994

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

Interoperability endpoints

  • Direct secure messaging: mcummings220746@direct.saint-lukes.org

Organizations & group practices 3

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 4

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1376932384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 50",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115943",
            "telephone_number": "816-931-3313",
            "fax_number": "816-531-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD STE 50",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-931-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-76661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "POMERENKE",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.