Active NPI
Diana Nacy, DNP
- Gerontology Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2022043563
- Practice address
- 15600 Woods Chapel Rd
Kansas City, MO 64139-1354 - Phone
- (816) 478-4757
- NPI assigned
- Apr 22, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2022043563 | MO | Primary |
| School Registered Nurse | 163WS0200X | 13-128339-092 | KS | |
| Gerontology Nurse Practitioner | 363LG0600X | 53-81569-092 | KS |
Addresses
Primary practice location
15600 Woods Chapel Rd
Kansas City, MO 64139-1354
Mailing address
PO Box 735378
Chicago, IL 60673-5378
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15600 Woods Chapel Rd
Seasons Rehab and Healthcare Center
Kansas City, MO 64139-1354
Phone (816) 478-4757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-81569-092 | KS | MD | Gerontology Nurse Practitioner |
| 2022043563 | MO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karefirst Missouri PC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
15600 Woods Chapel Rd
Kansas City, MO 64139
Phone (816) 478-4757
11221 N Nashua Dr
Kansas City, MO 64155
Phone (816) 734-4433
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
731 N Main St
Sikeston, MO 63801
Phone (573) 471-1276
3403 W Mount Vernon St
Springfield, MO 65802
Phone (417) 864-5600
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1508429945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735378",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 WOODS CHAPEL RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641391354",
"telephone_number": "816-478-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACY",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-22",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2022043563",
"primary": true
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "KS",
"license": "13-128339-092",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KS",
"license": "53-81569-092",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.