Individual provider Active NPI

Krystal Marie Katzer, FNP-C

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1407497720
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-78916-011 Issued in KS
Practice address
5721 W 119TH St
Overland Park, KS 66209-3753
Phone
(913) 498-6000
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 53-78916-011 KS Primary

Addresses

Primary practice location

5721 W 119TH St
Overland Park, KS 66209-3753

Mailing address

4831 W 136TH St Unit a
Leawood, KS 66224-5924
Phone (913) 498-8787

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
I20191106000640 MO Practitioner - Nurse Practitioner 9335471689 Reassigns benefits to 1 organization
I20191203000128 KS Practitioner - Nurse Practitioner 9335471689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (913) 498-8787

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 498-8787

2100 SE Blue Pkwy
Lee's Summit, MO 64063-1007
Phone (913) 498-8787

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-8787

9100 W 74TH St
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-78916-011KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KC Hospitalists, P.a. CurrentSince Nov 1, 2019 Accepting new patients

Locations

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 777-4097

7400 W 132nd St
Ste 120
Overland Park, KS 66213

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

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 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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1407497720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 W 136TH ST UNIT A",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662245924",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093753",
            "telephone_number": "913-498-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZER",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78916-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.