Individual provider Active NPI

Makenzie Evinger

  • Family Nurse Practitioner
  • Odessa, MO
National Provider Identifier
1619609989
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022023903 Issued in MO
Practice address
305 N 4TH St
Odessa, MO 64076-1149
Phone
(816) 277-8598
NPI assigned
Jun 27, 2022
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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 2022023903 MO Primary

Addresses

Primary practice location

305 N 4TH St
Odessa, MO 64076-1149

Mailing address

305 N 4TH St
Odessa, MO 64076-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221212002279 MO Practitioner - Nurse Practitioner 7517336688 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Specialty Associates of Missouri LLCGroup PAC ID 2860874831, 39 clinicians
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000

407 Burkarth Rd
Suite 302
Warrensburg, MO 64093-3101
Phone (660) 747-5588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100Reported as group
Quality
50.01
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics and Sports Medicine CurrentSince Oct 1, 2024 Accepting new patients
Western Missouri Medical Center CurrentSince Jun 5, 2025 Accepting new patients
Western Missouri Medical Center CurrentSince Jun 5, 2025 Accepting new patients
Surgical Care of Independence, Inc CurrentSince Nov 1, 2022 Accepting new patients
Advanced Orthopedics and Sports Medicine CurrentSince Oct 1, 2024 Accepting new patients
Urgent Specialty Associates of Missouri LLC CurrentSince Jan 1, 2026 Accepting new patients
Western Missouri Medical Center Past Accepting new patients

Locations

19101 E Valley View Pkwy
Ste B
Independence, MO 64055
Phone (816) 254-9292

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

Organizations & group practices 7

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1619609989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 4TH ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 4TH ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761149",
            "telephone_number": "816-277-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVINGER",
        "first_name": "MAKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022023903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

Verify at the official NPI Registry.