Michele Duckett, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2020002094 Issued in MO

Practice address

19550 E 39TH St S Ste 220
Independence, MO 64057-2305

Phone

(816) 461-6837

NPI assigned

Jan 9, 2020

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspring Healthcare LLCGroup PAC ID 9032509088, shared by 2 NPIs, 3 clinicians

Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD
• Direct secure messaging: michele.duckett.1@24823.direct.athenahealth.com
• Direct secure messaging: michele.duckett@hca2.eclinicaldirectplus.com

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.

• P&C Healthcare LLC

  • Hospitalist Physician
  • Independence, MO
  • NPI 1124575923
  Medicare reassignment Care Compare group NPD
• CH Specialty Services Mo LLC

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1194422253
  Medicare reassignment NPD
• Curana Health of Missouri-Kansas LLC

  dba Elite Patient Care

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1306165337

  KS

  Medicare reassignment NPD
• Wellspring Healthcare LLC

  • Internal Medicine Physician
  • Raytown, MO
  • NPI 1881363927
  Medicare reassignment NPD
• CH Specialty Services KS LLC

  • Internal Medicine Physician
  • Lenexa, KS
  • NPI 1770282188
  Medicare reassignment NPD
• Wellspring Healthcare LLC

  • Primary Care Clinic/Center
  • Shawnee Mission, KS
  • NPI 1659191054
  Medicare reassignment NPD
• P & C Consultant Services

  • Pulmonary Disease Physician
  • Independence, MO
  • NPI 1073204673
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1427698224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "913-222-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 220",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572305",
            "telephone_number": "816-461-6837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 SW Longview Blvd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640812157",
            "country_code": "US",
            "telephone_number": "877-279-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "MICHELE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "2007005141",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KS",
            "license": "14-120092-122",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-81698-122",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2020002094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mduckett9@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19550 E 39th St S Ste 220",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640572305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mathew Henry Draper, D.D.S.
• Drbryanbaker.Com LLC (Spine Hand And Foot Clinic)
• Drumm Center for Children, Inc.
• Sol H. Dubin, M.D.
• Karla Dubon
• Megan E Duff, M.A.
• Jill Lynne Dukes, RPT
• Patrice Wanetta Dumas Veraguth
• Brandie Duncan, CRNA
• Bruce L Duncan, DC

• Gerontology Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.