Caitlin Aaron, NP-C
Individual provider Active NPI Nurse Practitioner · Lees Summit, MO
NPI 1649934340 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1649934340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2021041127 (MO)
- Practice address
- 2100 SE Blue Pkwy
Lees Summit, MO 64063-1007 - Phone
- (816) 282-5000
- NPI assigned
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220106002035 | MO | Practitioner - Nurse Practitioner | 1052702792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021041127 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Mo, LLC | Current |
Accepting new patients |
Locations
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175
403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2021041127 | MO | Yes |
Addresses
Primary practice location
2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Mailing address
3600 W 73Rd St
Prairie Village, KS 66208-2903
Phone (816) 560-9899
Other providers in Lees Summit, MO
- 360 Degrees Wellness Counseling LLC
- 3Rd St Healthcare LLC
- A Therapist Clinical Counseling
- Aaa Compassionate Care, LP
- Afsheen Ishaku Abdullah Patel
- Able Chiro and FM LLC
- Ablelink Smart Living Technologies
- Abrams Enterprises, LLC
- Christian Allen Abrams
All providers in Lees Summit, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.