Individual provider Active NPI

Ruth Ann Maggard, FNP-C

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1578791919
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2006023774 Issued in MO
Practice address
1215 NE Coronado Dr
Blue Springs, MO 64014-2928
Phone
(816) 622-3342
Fax
(816) 622-3343
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 53-75023-041 KS
Family Nurse Practitioner 363LF0000X 2006023774 MO Primary

Addresses

Primary practice location

1215 NE Coronado Dr
Blue Springs, MO 64014-2928

Mailing address

1215 NE Coronado Dr
Blue Springs, MO 64014-2928
Phone (816) 622-3342

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091016000525 MO Practitioner - Nurse Practitioner 4688727894 Reassigns benefits to 1 organization
I20091016000534 KS Practitioner - Nurse Practitioner 4688727894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

228 NW Oldham Pkwy
Carenow
Lees Summit, MO 64081-1520
Phone (816) 600-4075

6930 Mission Rd
Prairie Village, KS 66208-2609
Phone (913) 401-2440

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75023-041KSMDFamily Nurse Practitioner
2006023774MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Jan 1, 2017 Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

7935 W 151st St
Overland Park, KS 66223
Phone (913) 814-3788

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

228 NW Oldham Pkwy
Lees Summit, MO 64081
Phone (816) 600-4075

9490 E State Route 350
Raytown, MO 64133
Phone (816) 256-4089

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1578791919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142928",
            "telephone_number": "816-622-3342",
            "fax_number": "816-622-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NE CORONADO DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142928",
            "telephone_number": "816-622-3342",
            "fax_number": "816-622-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGARD",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75023-041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2006023774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.