Active NPI
Nancy C. Moran, MD
- Family Medicine Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 103373
- Practice address
- 4721 S Cliff Ave
Suite 200
Independence, MO 64055-7016 - Phone
- (816) 503-3700
- Fax
- (816) 503-3723
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 103373 | MO | Primary |
Addresses
Primary practice location
4721 S Cliff Ave
Suite 200
Independence, MO 64055-7016
Mailing address
4721 S Cliff Ave
Suite 200
Independence, MO 64055-7016
Phone (816) 503-3700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001640102 | Other | CHP PROVIDER NUMBER PHFUC | |
| 22039026 | Other | BCBS PHF URGENT CARE | |
| 4528879 | Other | AETNA | |
| 080181189 | Other | RR MEDICARE | |
| 481159444 | Other | JAYHAWK TAX ID | |
| 10001640101 | Other | CHP PROVIDER NUMBER FCI | |
| 20916093 | Other | BCBS | |
| 18960020 | Other | CFU BCBS |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090903000612 | MO | Practitioner - Family Practice | 0143375774 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care of Kansas PA
Practice addresses (Care Compare)
200 Southwest Blvd
Kansas City, MO 64108-2019
Phone (816) 842-1146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103373 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| Serafini Medical, P.C. | Family Medicine | Past | Accepting new patients |
| Midwest Heart & Vascular Specialists, LLC | Past | Accepting new patients | |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Jayhawk Primary Care Inc | Family Medicine | Past | Accepting new patients |
Locations
6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603
200 Southwest Blvd
Kansas City, MO 64108
Phone (816) 842-1146
83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174
5506 Corporate Dr
Ste 1700
Saint Joseph, MO 64507
Phone (816) 671-4880
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1851797989
-
- Urgent Care Clinic/Center
- Maryland Heights, MO
- NPI 1922404052
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1114323243
-
- Cardiovascular Disease Physician
- Overland Park, KS
- NPI 1760736615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1487697447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 S CLIFF AVE",
"address_2": "SUITE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557016",
"telephone_number": "816-503-3700",
"fax_number": "816-503-3723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 S CLIFF AVE",
"address_2": "SUITE 200",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557016",
"telephone_number": "816-503-3700",
"fax_number": "816-503-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "NANCY",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "103373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHP PROVIDER NUMBER PHFUC",
"identifier": "10001640102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PHF URGENT CARE",
"identifier": "22039026",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4528879",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080181189",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JAYHAWK TAX ID",
"identifier": "481159444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHP PROVIDER NUMBER FCI",
"identifier": "10001640101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "20916093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CFU BCBS",
"identifier": "18960020",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.