Active NPI
Elizabeth McCoy Schraeder
- Acute Care Nurse Practitioner
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 53-78965-042
- Practice address
- 12021 Slater St
Overland Park, KS 66213-1556 - Phone
- (913) 302-3838
- NPI assigned
- Oct 9, 2019
- Last updated
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-78965-042 | KS | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Group P a | Current | Accepting new patients | |
| Kansas Post Acute Medical Services 1 PA | Current | Accepting new patients | |
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | 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
- 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.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1548563737
-
- Hospitalist Physician
- Colwich, KS
- NPI 1124557020
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1831236272
-
dba American Health Network of Indiana LLC/TELERADIOLOGY
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225331002
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.