Individual provider Active NPI

Mandy Lueck, NP-C

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1619216678
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013004141 Issued in MO
Practice address
6013 Leavenworth Rd
Kansas City, KS 66104-1436
Phone
(913) 321-2200
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2013004141 MO Primary

Addresses

Primary practice location

6013 Leavenworth Rd
Kansas City, KS 66104-1436

Mailing address

6013 Leavenworth Rd
Kansas City, KS 66104-1436
Phone (913) 321-2200

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
I20140314001719 KS Practitioner - Nurse Practitioner 1759512783
I20160804000943 MO Practitioner - Nurse Practitioner 1759512783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

606 S Hardy Ave
Truman Medical Center Incorporated Fairmont
Independence, MO 64053-1827
Phone (816) 404-5770

Hospital & facility affiliations

  • University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013004141MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Nov 14, 2022 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Jul 5, 2016 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 14, 2022 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

1439 S Minter Way
Grain Valley, MO 64029
Phone (816) 404-6785

606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1619216678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 LEAVENWORTH RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661041436",
            "telephone_number": "913-321-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 LEAVENWORTH RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661041436",
            "telephone_number": "913-321-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUECK",
        "first_name": "MANDY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013004141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.