Individual provider Active NPI

Paige Michelle Petite

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1396558631
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2026006522 Issued in MO
Practice address
1400 W Randolph St Unit 1702
Chicago, IL 60607-1435
Phone
(785) 307-8043
NPI assigned
Jan 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2026006522 MO Primary

Addresses

Primary practice location

1400 W Randolph St Unit 1702
Chicago, IL 60607-1435

Mailing address

2800 Clay Edwards Drive,
Central Verification Office and Payor Enrollment
North Kansas City, MO 64116
Phone (816) 691-1655

Other practice location 1

2790 Clay Edwards Dr Ste 1200
North Kansas City, MO 64116-3253
Phone (816) 468-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20260219002288 MO Practitioner - Physician Assistant 5890275689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 1200
North Kansas City, MO 64116-3253
Phone (816) 468-7800

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2026006522MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Mar 30, 2026 Accepting new patients
Meritas Health Corporation CurrentSince Mar 30, 2026 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

2790 Clay Edwards Dr
Ste 1200
North Kansas City, MO 64116
Phone (816) 468-7800

2800 Clay Edwards Dr
Ofc And
North Kansas City, MO 64116

Organizations & group practices 4

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 2

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": "1770854400000",
    "number": "1396558631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CLAY EDWARDS DRIVE,",
            "address_2": "CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "64116",
            "telephone_number": "816-691-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W RANDOLPH ST UNIT 1702",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071435",
            "telephone_number": "785-307-8043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163253",
            "country_code": "US",
            "telephone_number": "816-468-7800",
            "fax_number": "816-468-8531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETITE",
        "first_name": "PAIGE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2026006522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.