Individual provider Active NPI

Nancy C. Moran, MD

  • Family Medicine Physician
  • Independence, MO
National Provider Identifier
1487697447
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
103373 Issued in MO
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

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10001640102OtherCHP PROVIDER NUMBER PHFUC
22039026OtherBCBS PHF URGENT CARE
4528879OtherAETNA
080181189OtherRR MEDICARE
481159444OtherJAYHAWK TAX ID
10001640101OtherCHP PROVIDER NUMBER FCI
20916093OtherBCBS
18960020OtherCFU 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 25 clinicians

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

LicenseStateTypeSpecialty
103373MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Kansas PA Current Accepting new patients
American Current Care of Kansas PA CurrentSince Apr 13, 2015 Accepting new patients
American Current Care of Kansas PA CurrentSince Apr 13, 2015 Accepting new patients
Serafini Medical, P.C. Family Medicine PastSince Oct 20, 2014 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.

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

Verify at the official NPI Registry.