Individual provider Active NPI

Martalea Anselmo, NP

  • Adult Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1528042439
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
45415 Issued in KS
Practice address
12200 W 106TH St
Suite 320
Overland Park, KS 66215-2300
Phone
(913) 227-0506
Fax
(913) 227-0570
NPI assigned
Dec 5, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 45415 KS Primary

Addresses

Primary practice location

12200 W 106TH St
Suite 320
Overland Park, KS 66215-2300

Mailing address

12200 W 106TH St
Suite 320
Overland Park, KS 66215-2300
Phone (913) 227-0506

Other names 1

  • Martalea Grubb Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060127000460 KS Practitioner - Nurse Practitioner 3476567587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-7330
Phone (913) 588-6144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
45415KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Apr 17, 2011 Accepting new patients
Olathe Health Physicians, Inc. CurrentSince Apr 17, 2011 Accepting new patients
Olathe Health Physicians, Inc. Current Accepting new patients
Kansas University Physicians Inc Past Accepting new patients
Overland Park Cardiovascular, Inc. Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

20805 W 151st St
Ste 400
Olathe, KS 66061
Phone (913) 355-4900

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1528042439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 320",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152300",
            "telephone_number": "913-227-0506",
            "fax_number": "913-227-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 106TH ST",
            "address_2": "SUITE 320",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152300",
            "telephone_number": "913-227-0506",
            "fax_number": "913-227-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMO",
        "first_name": "MARTALEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "45415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTALEA",
            "last_name": "GRUBB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.