Individual provider Active NPI

Darci M Mathison, A.R.N.P.

  • Family Nurse Practitioner
  • Shawnee Mission, KS
National Provider Identifier
1659456598
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0369099 Issued in CO
Practice address
7301 E Frontage Rd
Suite 100
Shawnee Mission, KS 66204-1654
Phone
(913) 384-4040
Fax
(913) 384-4093
NPI assigned
Oct 26, 2006
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 0369099 CO Primary

Addresses

Primary practice location

7301 E Frontage Rd
Suite 100
Shawnee Mission, KS 66204-1654

Mailing address

802 W Drake Rd
Ste 101
Fort Collins, CO 80526-5567
Phone (970) 482-0198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 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
I20040325000589 KS Practitioner - Nurse Practitioner 2668364779 Reassigns benefits to 1 organization
I20161215000812 CO Practitioner - Nurse Practitioner 2668364779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0369099COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Med PA Past Accepting new patients
Queen Anne Family Medicine Inc PS Past Accepting new patients
Shawnee Mission Medical Center, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1659456598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W DRAKE RD",
            "address_2": "STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265567",
            "telephone_number": "970-482-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E FRONTAGE RD",
            "address_2": "SUITE 100",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662041654",
            "telephone_number": "913-384-4040",
            "fax_number": "913-384-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISON",
        "first_name": "DARCI",
        "middle_name": "M",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0369099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.