Individual provider Active NPI

Carolyn Frances Mense, PA-C

  • Physician Assistant
  • Shawnee, KS
National Provider Identifier
1568054757
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6800 Hilltop Rd Ste 102
Shawnee, KS 66226-3571
Phone
(913) 901-5001
Fax
(913) 901-5051
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6800 Hilltop Rd Ste 102
Shawnee, KS 66226-3571

Mailing address

9956 W Road 160 S
Grinnell, KS 67738-3904
Phone (785) 673-3042

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
I20220517001694 MO Practitioner - Physician Assistant 4789080136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Missouri LLCGroup PAC ID 1153689294, 21 clinicians

Practice addresses (Care Compare)

1805 NW Platte Rd
Suite 120
Riverside, MO 64150-7500
Phone (816) 205-8120

2325 Dougherty Ferry Rd
Suite 201
Saint Louis, MO 63122-3356
Phone (314) 993-1714

805 N 36TH St
Suite D
Saint Joseph, MO 64506-2954
Phone (816) 205-8120

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
82.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: carolyn.mense@epiphanyderm.emadirect.md

Organizations & group practices 1

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1568054757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9956 W ROAD 160 S",
            "city": "GRINNELL",
            "state": "KS",
            "postal_code": "677383904",
            "telephone_number": "785-673-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HILLTOP RD STE 102",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263571",
            "telephone_number": "913-901-5001",
            "fax_number": "913-901-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSE",
        "first_name": "CAROLYN",
        "middle_name": "FRANCES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.