Individual provider Active NPI

Deanna Michelle Swaggerty, MSN-APRN

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1568808061
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012041205 Issued in MO
Practice address
8765 N Ambassador Dr
Kansas City, MO 64154-2540
Phone
(913) 297-7472
NPI assigned
May 12, 2013
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012041205 MO Primary
Family Nurse Practitioner 363LF0000X 53-75768-022 KS

Addresses

Primary practice location

8765 N Ambassador Dr
Kansas City, MO 64154-2540

Mailing address

8765 N Ambassador Dr
Kansas City, MO 64154-2540
Phone (913) 297-7472

Other identifiers 1

IdentifierTypeStateIssuer
420005275MedicaidMO

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
I20251120002505 KS Practitioner - Nurse Practitioner 3375786585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4865

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75768-022KSMDFamily Nurse Practitioner
2012041205MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Nov 1, 2025 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

15604 Pinehurst Dr
Ste 2
Basehor, KS 66007
Phone (913) 728-2200

913 Sheidley Ave
Bonner Springs, KS 66012
Phone (816) 301-4533

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

Interoperability endpoints

  • Direct secure messaging: deanna.swaggerty.1@16552.direct.athenahealth.com

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.

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": "1368316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1568808061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 N AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542540",
            "telephone_number": "913-297-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 N AMBASSADOR DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542540",
            "telephone_number": "913-297-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAGGERTY",
        "first_name": "DEANNA",
        "middle_name": "MICHELLE",
        "credential": "MSN-APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-12",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012041205",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75768-022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420005275",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.