Individual provider Active NPI

Courtney Hinson, PA

  • Physician Assistant
  • North Kansas City, MO
National Provider Identifier
1609225812
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2016023469 Issued in MO
Practice address
1950 Diamond Pkwy Ste 200
North Kansas City, MO 64116-4321
Phone
(816) 842-6717
Fax
(816) 842-2574
NPI assigned
Jun 8, 2016
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 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 2016023469 MO Primary

Addresses

Primary practice location

1950 Diamond Pkwy Ste 200
North Kansas City, MO 64116-4321

Mailing address

8551 Bluejacket St
Lenexa, KS 66214-1656

Other names 1

  • Courtney Kreamer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20161025002092 KS Practitioner - Physician Assistant 1658659701 Reassigns benefits to 1 organization
I20161025002374 MO Practitioner - Physician Assistant 1658659701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Phone (816) 691-2000

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016023469MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. CurrentSince Apr 25, 2021 Accepting new patients

Locations

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

1950 Diamond Pkwy
Ste 200
North Kansas City, MO 64116
Phone (816) 842-6717

2750 Clay Edwards Dr
Ste 500
North Kansas City, MO 64116
Phone (816) 444-5425

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 2

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1609225812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8551 BLUEJACKET ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY STE 200",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164321",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSON",
        "first_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2016023469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "KREAMER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.