Individual provider Active NPI

Fea Kowa

  • Family Nurse Practitioner
  • Belton, MO
National Provider Identifier
1528894680
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024014460 Issued in MO
Practice address
511 Fall Creek Dr
Belton, MO 64012-7807
Phone
(816) 217-1688
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024014460 MO Primary

Addresses

Primary practice location

511 Fall Creek Dr
Belton, MO 64012-7807

Mailing address

511 Fall Creek Dr
Belton, MO 64012-7807
Phone (816) 217-1688

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
I20241218002751 MO Practitioner - Nurse Practitioner 4587191341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Health Care Services PAGroup PAC ID 7012199326, 9 clinicians

Practice addresses (Care Compare)

3001 E Elm St
Crown Care
Harrisonville, MO 64701-1196
Phone (913) 322-8859

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity in-Home Health Care LLC CurrentSince Sep 15, 2024 Accepting new patients
Complete Health Care Services PA CurrentSince Oct 17, 2024 Accepting new patients

Locations

11111 Nall Ave
Ste 103
Overland Park, KS 66211
Phone (888) 778-9471

3001 E Elm St
Harrisonville, MO 64701
Phone (816) 380-6525

2160 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 554-0101

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1528894680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 FALL CREEK DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640127807",
            "telephone_number": "816-217-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 FALL CREEK DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640127807",
            "telephone_number": "816-217-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWA",
        "first_name": "FEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024014460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.