Individual provider Active NPI

Payton Elizabeth Rathjen

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1386457695
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025002312 Issued in MO
Practice address
2330 E Meyer Blvd Ste 509
Kansas City, MO 64132-1177
Phone
(816) 868-3133
NPI assigned
Jan 30, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025002312 MO Primary

Addresses

Primary practice location

2330 E Meyer Blvd Ste 509
Kansas City, MO 64132-1177

Mailing address

5050 Main St Apt 715
Kansas City, MO 64112-2903
Phone (816) 868-3133

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
I20250317001725 MO Practitioner - Nurse Practitioner 3577085802 Reassigns benefits to 1 organization
I20250317002377 KS Practitioner - Nurse Practitioner 3577085802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

2330 E Meyer Blvd
Suite 509
Kansas City, MO 64132-1143
Phone (816) 276-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025002312MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart & Vascular Specialists, LLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

12200 W 106th St
Ste 315
Overland Park, KS 66215
Phone (913) 348-4202

17067 S Outer Rd
Ste 200
Belton, MO 64012
Phone (816) 348-4270

2820 E Rock Haven Rd
Ste 200
Harrisonville, MO 64701
Phone (816) 333-5005

2820 E Rock Haven Rd
Ste 205
Harrisonville, MO 64701
Phone (816) 363-7710

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: payton.rathjen@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1386457695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 MAIN ST APT 715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641122903",
            "telephone_number": "816-868-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD STE 509",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321177",
            "telephone_number": "816-868-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHJEN",
        "first_name": "PAYTON",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025002312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.