Amy Michelle Holman, MD
Individual provider Active NPI Family Medicine Physician · Lansing, KS
NPI 1669698205 · NPPES record last updated Nov 17, 2017
Key facts
- NPI
- 1669698205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-32726 (KS)
- Practice address
- 1004 Progress Dr
Lansing, KS 66043-6326 - Phone
- (913) 772-8200
- Fax
- (913) 772-0372
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Ability KC
Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
100 E Kansas St
Lansing, KS 66043-1610
Phone (913) 758-0283
3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832
5844 NW Barry Rd
110 St Lukes Medical Barry Rd
Kansas City, MO 64154-1483
Phone (816) 880-6100
Hospital & facility affiliations
- Saint Lukes Home Care
- St Lukes Hospital of Kansas City
- Saint Lukes North Hospital
- Saint John Hospital
- Saint Luke'S South Hospital
- University of Kansas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090901000185 | MO | Practitioner - Family Practice | 3870648629 | Reassigns benefits to 1 organization |
| I20140701002517 | KS | Practitioner - Family Practice | 3870648629 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Family Medicine | Current |
Accepting new patients |
Locations
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100
901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- aholman5047@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-32726 | KS | Yes |
Addresses
Primary practice location
1004 Progress Dr
Lansing, KS 66043-6326
Mailing address
901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64131-9712
Phone (816) 502-7104
Other providers in Lansing, KS
- Hanger Prosthetics & Orthotics East Inc
- Sabine Anja Harrell
- Jana Harris
- Kaylee Hawk
- Kristen E Hayes
- Maureen E Horan
- Hospice Advantage, LLC.
- Housecalls of Kansas, LLC
- Jeffrey Hubka
- Erin Katie Idacavage
All providers in Lansing, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2017. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.