Individual provider Active NPI

Jennifer J. Roggy, ANP-BC, AOCNP

  • Adult Health Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1578714895
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
121297 Issued in MO
Practice address
2750 Clay Edwards Dr Lowr Level010
North Kansas City, MO 64116-3237
Phone
(913) 574-1050
Fax
(913) 574-1055
NPI assigned
Oct 6, 2008
Last updated
Dec 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 121297 MO
Adult Health Nurse Practitioner 363LA2200X 45513 KS
Registered Nurse 163W00000X 14-82525-042 KS
Adult Health Nurse Practitioner 363LA2200X 121297 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr Lowr Level010
North Kansas City, MO 64116-3237

Mailing address

11300 Corporate Ave
Lenexa, KS 66219-1374
Phone (913) 574-2800

Other identifiers 2

IdentifierTypeStateIssuer
200633470BMedicaidKS
1578714895MedicaidMO

Other names 1

  • Jennifer J. Bingham Former name

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
I20040602001414 MO Practitioner - Nurse Practitioner 8729060801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 E 101St Terrace
Univ KS CNCR CNTR S
Kansas City, MO 64131-3366
Phone (913) 588-1227

4150 N Mulberry Dr
Suite 150
Kansas City, MO 64116-1764
Phone (913) 588-1227

8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-82525-042KSMDRegistered Nurse
45513KSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Jun 20, 2011 Accepting new patients
University of Kansas Hospital Authority CurrentSince Jun 20, 2011 Accepting new patients
Kansas City Cancer Center, LLC Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

4150 N Mulberry Dr
Ste 150
Kansas City, MO 64116
Phone (816) 584-0505

2750 Clay Edwards Dr
Ste 10
North Kansas City, MO 64116
Phone (816) 691-5216

Organizations & group practices 3

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 5

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": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1578714895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CORPORATE AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191374",
            "telephone_number": "913-574-2800",
            "fax_number": "913-574-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR LOWR LEVEL010",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163237",
            "telephone_number": "913-574-1050",
            "fax_number": "913-574-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGGY",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "credential": "ANP-BC, AOCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "121297",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "45513",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-82525-042",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "121297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200633470B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578714895",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BINGHAM",
            "middle_name": "J.",
            "credential": "ANP-BC, AOCNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.