Individual provider Active NPI

Elizabeth McCoy Schraeder

  • Acute Care Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1609418714
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53-78965-042 Issued in KS
Practice address
12021 Slater St
Overland Park, KS 66213-1556
Phone
(913) 302-3838
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 53-78965-042 KS Primary

Addresses

Primary practice location

12021 Slater St
Overland Park, KS 66213-1556

Mailing address

12021 Slater St
Overland Park, KS 66213-1556
Phone (913) 302-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230214003157 KS Practitioner - Nurse Practitioner 4981076254 Reassigns benefits to 5 organizations
I20230302000296 MO Practitioner - Nurse Practitioner 4981076254 Reassigns benefits to 1 organization
I20260305000940 IN Practitioner - Nurse Practitioner 4981076254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7151 Marsh Rd
Indianapolis, IN 46278-1631

7440 Woodland Dr
Indianapolis, IN 46278-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-78965-042KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group P a CurrentSince Mar 1, 2023 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Oct 16, 2024 Accepting new patients
American Health Network of Indiana LLC CurrentSince Feb 26, 2026 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Apr 14, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 16, 2024 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Apr 14, 2025 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Feb 26, 2026 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

7151 Marsh Rd
Ste 150
Indianapolis, IN 46278
Phone (317) 216-2021

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

6860 W 115th St
Overland Park, KS 66211
Phone (913) 217-3521

601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

9229 Ward Pkwy
Kansas City, MO 64114
Phone (816) 444-5511

Interoperability endpoints

  • Direct secure messaging: eschraeder114398@direct.optum.com

Organizations & group practices 8

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": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1609418714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SLATER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131556",
            "telephone_number": "913-302-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SLATER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131556",
            "telephone_number": "913-302-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAEDER",
        "first_name": "ELIZABETH",
        "middle_name": "MCCOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-78965-042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.