Individual provider Active NPI

Courtney Ann Angell, M.D.

  • Obstetrics & Gynecology Physician
  • Lees Summit, MO
National Provider Identifier
1669600706
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2013016818 Issued in MO
Practice address
20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone
(816) 282-7809
Fax
(816) 282-7870
NPI assigned
Jun 28, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Group LLC 20 clinicians
Rockhill Women'S Care Inc 11 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
310 Rockhill Women'S Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809

5701 W 119TH St
225 Menorah
Overland Park, KS 66209-3721
Phone (913) 601-4020

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140113001682 MO Practitioner - Obstetrics/Gynecology 6002044310 Reassigns benefits to 2 organizations
I20170228000682 KS Practitioner - Obstetrics/Gynecology 6002044310 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013016818MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Women'S Care, Inc CurrentSince Sep 24, 2013 Accepting new patients

Locations

5701 W 119th St
Ste 225
Overland Park, KS 66209
Phone (913) 469-0550

20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2013016818 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001

Mailing address

20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone (816) 282-7809

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 1, 2021.

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1669600706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 310",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 310",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2013016818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.