Individual provider Active NPI

Diana Nacy, DNP

  • Gerontology Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1508429945
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2022043563 Issued in MO
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

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102000971 MO Practitioner - Nurse Practitioner 6901282961 Reassigns benefits to 3 organizations

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
Karefirst Missouri PCGroup PAC ID 1052605383, 12 clinicians

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

LicenseStateTypeSpecialty
53-81569-092KSMDGerontology Nurse Practitioner
2022043563MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Missouri PC CurrentSince Oct 1, 2024 Accepting new patients
Provider Partners Care Management LP CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.