Individual provider Active NPI

Sheree Christine Kruske, FNP-BC

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1477015386
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019001628 Issued in MO
Practice address
5514 Corporate Dr
Saint Joseph, MO 64507-7743
Phone
(816) 271-1265
Fax
(816) 271-4060
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 2019001628 MO Primary

Addresses

Primary practice location

5514 Corporate Dr
Saint Joseph, MO 64507-7743

Mailing address

5514 Corporate Dr Ste 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1265

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
I20190531001875 MO Practitioner - Nurse Practitioner 4688907942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1220

Hospital & facility affiliations

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

State licenses

LicenseStateTypeSpecialty
2019001628MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince May 3, 2019 Accepting new patients
Heartland Regional Medical Center CurrentSince May 3, 2019 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

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

902 N Riverside Rd
Ste 100
Saint Joseph, MO 64507
Phone (816) 271-1241

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

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

5514 Corporate Dr
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-1221

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.

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1477015386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077763",
            "telephone_number": "816-271-1265",
            "fax_number": "816-271-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077743",
            "telephone_number": "816-271-1265",
            "fax_number": "816-271-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSKE",
        "first_name": "SHEREE",
        "middle_name": "CHRISTINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019001628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.