Individual provider Active NPI

Alicia R Cross-Tipton, PA-C

  • Physician Assistant
  • Lees Summit, MO
National Provider Identifier
1437541893
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01853 Issued in KS
Practice address
120 NE Saint Lukes Blvd
Ste. 200
Lees Summit, MO 64086-6000
Phone
(816) 246-4302
Fax
(816) 246-9493
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 2015005495 MO
Physician Assistant 363A00000X 15-01853 KS Primary

Addresses

Primary practice location

120 NE Saint Lukes Blvd
Ste. 200
Lees Summit, MO 64086-6000

Mailing address

5701 W 119TH St Ste 410
Overland Park, KS 66209-3721
Phone (913) 345-6901

Other practice location 1

5701 W 119th St Ste 410
Overland Park, KS 66209-3721
Phone (913) 345-6901

Other identifiers 2

IdentifierTypeStateIssuer
4857968OtherAETNA
P01516242OtherRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ALICIA.TIPTON@hca2.eclinicaldirectplus.com

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
I20150319001742 MO Practitioner - Physician Assistant 0749507374 Reassigns benefits to 1 organization
I20180212001264 KS Practitioner - Physician Assistant 0749507374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

1215 NE Coronado Dr
Carenow
Blue Springs, MO 64014-2928
Phone (816) 622-3342

228 NW Oldham Pkwy
Carenow
Lees Summit, MO 64081-1520
Phone (816) 600-4075

3509 SW Market St
Lees Summit, MO 64082-2327
Phone (816) 366-1197

9490 E State Route 350
Carenow
Raytown, MO 64133-6509
Phone (816) 256-4089

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01853KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Menorah Medical Group, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicia.tipton@hca2.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1437541893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 410",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-345-6901",
            "fax_number": "913-469-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD",
            "address_2": "STE. 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 W 119th St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093721",
            "country_code": "US",
            "telephone_number": "913-345-6901",
            "fax_number": "913-469-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS-TIPTON",
        "first_name": "ALICIA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2015005495",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4857968",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01516242",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALICIA.TIPTON@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5701 W 119th St Ste 410",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662093721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.