Individual provider Active NPI

Roopa Patel Mokha, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1376992479
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2018008498 Issued in MO
Practice address
1000 E 24TH St
Kansas City, MO 64108-2776
Phone
(816) 512-7144
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2010023851 MO
Registered Nurse 163W00000X 14-120352-082 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78044 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2018008498 MO Primary

Addresses

Primary practice location

1000 E 24TH St
Kansas City, MO 64108-2776

Mailing address

1000 E 24TH St
Kansas City, MO 64108-2776
Phone (816) 965-1150

Other practice location 1

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20180801003878 MO Practitioner - Nurse Practitioner 9032467493 Reassigns benefits to 2 organizations
I20181030002589 KS Practitioner - Nurse Practitioner 9032467493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RediscoverGroup PAC ID 3375453517, 50 clinicians
Cottonwood Springs Physician Group LLCGroup PAC ID 6800199274, 21 clinicians
Bee Well Psychiatric Associates, LLCGroup PAC ID 8426484528, 4 clinicians

Practice addresses (Care Compare)

1000 E 24TH St
Kansas City, MO 64108-2776
Phone (816) 965-1150

13351 S Arapaho Dr
Olathe, KS 66062-1520
Phone (913) 353-3000

7050 W 107TH St
Suite 10
Overland Park, KS 66212-1921
Phone (816) 682-8559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-120352-082KSMDRegistered Nurse
2010023851MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Springs Physician Group LLC CurrentSince Sep 18, 2018 Accepting new patients
Bee Well Psychiatric Associates, LLC Psychiatric/Mental Health CurrentSince Dec 10, 2019 Accepting new patients
Rediscover CurrentSince Jun 25, 2018 Accepting new patients
Renu Brain Treatment Center, LLC CurrentSince Sep 23, 2022 Accepting new patients
Rediscover CurrentSince Jun 25, 2018 Accepting new patients
Cottonwood Springs Physician Group LLC Past Accepting new patients

Locations

15040 W 138th St
Olathe, KS 66062
Phone (913) 254-7265

13351 S Arapaho Dr
Olathe, KS 66062
Phone (913) 353-3000

7050 W 107th St
Ste 10
Overland Park, KS 66212
Phone (660) 270-7110

9237 Ward Pkwy
Ste 240
Kansas City, MO 64114
Phone (816) 321-1414

1000 E 24th St
Kansas City, MO 64108
Phone (816) 512-7000

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1376992479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 24TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082776",
            "telephone_number": "816-965-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 24TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082776",
            "telephone_number": "816-512-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13351 S Arapaho Dr",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621520",
            "country_code": "US",
            "telephone_number": "913-353-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOKHA",
        "first_name": "ROOPA",
        "middle_name": "PATEL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2010023851",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-120352-082",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "78044",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2018008498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.