Active NPI
Charis Grosdidier, APRN
- Gerontology Nurse Practitioner
- Lawrence, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 76945
- Practice address
- 1130 W 4TH St Ste 2050
Lawrence, KS 66044-1333 - Phone
- (785) 505-3636
- Fax
- (785) 505-5210
- NPI assigned
- Oct 5, 2015
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 76945 | KS | Primary |
Addresses
Primary practice location
1130 W 4TH St Ste 2050
Lawrence, KS 66044-1333
Mailing address
325 Maine Street
Mso Library
Lawrence, KS 66044-1360
Phone (785) 505-2988
Other practice location 1
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charis.grosdidier1@direct.lmh.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 W 4TH St
2050 Cardiovascular Specialists of Lawrence
Lawrence, KS 66044-1333
Phone (785) 841-3636
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 79.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76945 | KS | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Mid-America Cardiology Associates, Inc. | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| The Internal Medicine Group PA | Past | Accepting new patients |
Locations
4000 Cambridge St
Ste G600
Kansas City, KS 66160
Phone (913) 588-7743
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
10787 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 588-9400
Interoperability endpoints
- charis.grosdidier1@direct.lmh.org
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Lawrence, KS
- NPI 1841607090
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1467406306
-
- Cardiovascular Disease Physician
- Lawrence, KS
- NPI 1346657590
-
- Surgery Physician
- Lawrence, KS
- NPI 1528603719
-
- Internal Medicine Physician
- Lawrence, KS
- NPI 1235136714
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, KS
- NPI 1508883422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1508236365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MAINE STREET",
"address_2": "MSO LIBRARY",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441360",
"telephone_number": "785-505-2988",
"fax_number": "785-505-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 W 4TH ST STE 2050",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660441333",
"telephone_number": "785-505-3636",
"fax_number": "785-505-5210"
}
],
"practiceLocations": [
{
"address_1": "3901 Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661608500",
"country_code": "US",
"telephone_number": "913-588-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSDIDIER",
"first_name": "CHARIS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KS",
"license": "76945",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charis.grosdidier1@direct.lmh.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1130 W 4th St Ste 2050",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660441333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.