Individual provider Active NPI

Summer Elyse Baumstark, PA

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1407408537
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025034236 Issued in MO
Practice address
3130 Mersington Ave
Kansas City, MO 64128-1755
Phone
(816) 404-6700
NPI assigned
Jul 9, 2019
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025034236 MO Primary
Medical Physician Assistant 363AM0700X 7744 AZ

Addresses

Primary practice location

3130 Mersington Ave
Kansas City, MO 64128-1755

Mailing address

3130 Mersington Ave
Kansas City, MO 64128-1755
Phone (816) 404-6700

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
I20250912003899 MO Practitioner - Physician Assistant 5597199166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025034236MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Multi-Specialty CurrentSince Sep 22, 2025 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Sep 22, 2025 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

3130 Mersington Ave
Kansas City, MO 64128
Phone (816) 404-6700

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Interoperability endpoints

  • Direct secure messaging: sschacht215849@direct.valleywisehealth.org

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, 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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1407408537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 MERSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641281755",
            "telephone_number": "816-404-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MERSINGTON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641281755",
            "telephone_number": "816-404-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMSTARK",
        "first_name": "SUMMER",
        "middle_name": "ELYSE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025034236",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.