Martalea Anselmo, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Overland Park, KS
NPI 1528042439 · NPPES record last updated Oct 22, 2007
Key facts
- NPI
- 1528042439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 45415 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kansas University Physicians Inc
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
- University of Kansas Health System Olathe Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.74 of 100
- Quality
- 16.27
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 66.19
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.91 of 100
- Quality
- 77.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060127000460 | KS | Practitioner - Nurse Practitioner | 3476567587 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45415 | KS | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current |
Accepting new patients | |
| Olathe Health Physicians, Inc. | Current |
Accepting new patients | |
| Olathe Health Physicians, Inc. | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 45415 | KS | Yes |
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
- Martalea Grubb
Other providers in Overland Park, KS
- Anew Home Health LC
- Catherine E Angell
- Angels Reliable Transportation
- Meagan Anna Angermeier
- Nicole Sue Annan
- Ansible Health Medical Group of Kansas PA
- Jaymi Anson
- Danielle Antes
- Anthem Overland Park Management, LLC
- Anthony Liperuote Chiropractic LLC
All providers in Overland Park, KS · Adult Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.