Individual provider Active NPI

Corey Jacob Krenz, FNP-C

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1417682295
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022027784 Issued in MO
Practice address
901 Heartland Rd.
# 1800, Plaza 2
Saint Joseph, MO 64506-6202
Phone
(816) 232-8877
NPI assigned
Jul 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 2022027784 MO Primary

Addresses

Primary practice location

901 Heartland Rd.
# 1800, Plaza 2
Saint Joseph, MO 64506-6202

Mailing address

105 S East St
Cameron, MO 64429-1992
Phone (816) 244-9814

Other practice location 1

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6122

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
I20220810000796 MO Practitioner - Nurse Practitioner 9032592944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians
Phoenix Urology of St Joseph IncGroup PAC ID 0840224291, 5 clinicians

Practice addresses (Care Compare)

901 Heartland Rd
Saint Joseph, MO 64506-6201

901 Heartland Rd
Suite 1800
Saint Joseph, MO 64506-6202
Phone (816) 232-8877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.04 of 100Reported as group
Quality
90.08
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Current Accepting new patients
Mercury Surgery Center LLC CurrentSince Aug 1, 2022 Accepting new patients
Heartland Regional Medical Center CurrentSince Jan 23, 2023 Accepting new patients
Phoenix Urology of St. Joseph, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Heartland Regional Medical Center CurrentSince Jan 23, 2023 Accepting new patients

Locations

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

901 Heartland Rd
#2S
Saint Joseph, MO 64506

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 1820
Saint Joseph, MO 64506
Phone (816) 232-8877

901 Heartland Rd
Ste 1800
Saint Joseph, MO 64506
Phone (816) 232-8877

Interoperability endpoints

  • Direct secure messaging: coreykrenz@phoenixuro.medalliesdirect.net

Organizations & group practices 5

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 4

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1417682295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S EAST ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291992",
            "telephone_number": "816-244-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD.",
            "address_2": "# 1800, PLAZA 2",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066202",
            "telephone_number": "816-232-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRENZ",
        "first_name": "COREY",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022027784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.