Kelby Rae Schroeder

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018001754 Issued in MO

Practice address

20 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6001

Phone

(816) 347-5000

Fax

(816) 347-5136

NPI assigned

Jan 10, 2018

Last updated

Feb 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mep Kansas LLCGroup PAC ID 1052437217, 61 clinicians

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
• Saint Luke's East Hospital Hospital, Lees Summit, MO, CCN 260216
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mep Kansas LLC

  • Emergency Medicine Physician
  • Overland Park, KS
  • NPI 1730491218
  Medicare reassignment Care Compare group NPD
• Saint Luke's Physician Group Inc

  dba Saint Luke's Medical Group

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717

  KS

  Medicare reassignment Care Compare group
• VA Eastern Kansas Health Care System

  • Emergency Medicine Physician
  • Leavenworth, KS
  • NPI 1255432951

  MO

  Medicare reassignment NPD

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

• Centerpoint Medical Center of Independence, LLC

  dba Centerpoint Medical Center

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Saint Lukes East Hospital

  dba Saint Luke's East Lee's Summit Hospital

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1053353490
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Saint Luke's Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1063494177
  Care Compare affiliation
• St Lukes Hospital of Kansas City

  dba Crittenton Children's Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  Care Compare affiliation
• St. Luke's Hospital of Kansas City

  dba Saint Luke's Hospital Infusion Center at Liberty

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1275926198
  Care Compare affiliation

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1538677687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E. 104TH ST.",
            "address_2": "MAILSTOP 400N",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7104",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-347-5000",
            "fax_number": "816-347-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "KELBY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78033-021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018001754",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013019585",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-142290-021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Schoenen, D.O.
• Jennifer A Schollars, MS, LPC
• Jessica Schornheuser, PHARMD
• Kristen K. Schreiner, D.D.S.
• Charles Eric Schroeder, M.D.
• James Douglas Schuette, D.D.S.
• Caitlin Schumacher
• Jennifer Leigh Schumacher, AUD
• Laura Schussler
• Eston J Schwartz, MD

• Family Nurse Practitioner in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.

Verify at the official NPI Registry.