Individual provider Active NPI

Grace Lesniewski, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1679289441
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4400 Broadway Blvd Ste 400
Kansas City, MO 64111-3342
Phone
(816) 932-0288
Fax
(816) 932-7490
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X KS
Physician Assistant 363A00000X MO Primary

Addresses

Primary practice location

4400 Broadway Blvd Ste 400
Kansas City, MO 64111-3342

Mailing address

4400 Broadway Blvd Ste 400
Kansas City, MO 64111-3342
Phone (816) 932-0288

Other practice location 1

5844 NW Barry Rd Ste 300
Kansas City, MO 64154-1483
Phone (816) 932-0288

Other practice location 2

12330 Metcalf Ave Ste 500B
Overland Park, KS 66213-1324
Phone (816) 932-0288

Other practice location 3

120 NE Saint Lukes Blvd Ste 220
Lees Summit, MO 64086-6011
Phone (816) 932-0288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20230629001664 KS Practitioner - Physician Assistant 5799144382 Reassigns benefits to 1 organization
I20230629001725 MO Practitioner - Physician Assistant 5799144382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

4400 Broadway
Suite 520
Kansas City, MO 64111-3342
Phone (816) 531-4080

4400 Broadway Blvd
Kansas City, MO 64111-3342

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

5830 NW Barry Rd
Kansas City, MO 64154-2778
Phone (816) 891-3000

5844 NW Barry Rd
Kansas City, MO 64154-1421

5844 NW Barry Rd
Kansas City, MO 64154-1483

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Physician Group Inc Physician Assistant CurrentSince May 27, 2023 Accepting new patients
Saint Lukes Physician Group Inc Physician Assistant CurrentSince May 27, 2023 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince May 27, 2023 Accepting new patients
Saint Lukes Physician Group II LLC PastSince Jun 30, 2012 Accepting new patients

Locations

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

12330 Metcalf Ave
Ste 500B
Overland Park, KS 66213
Phone (816) 932-0288

5844 NW Barry Rd
Ste 300
Kansas City, MO 64154
Phone (816) 531-4080

901 E 104th St
Ste 400
Kansas City, MO 64131
Phone (816) 502-8752

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

4400 Broadway Blvd
Ste 400
Kansas City, MO 64111
Phone (816) 584-8100

120 NE Saint Lukes Blvd
Fl 3
Lees Summit, MO 64086
Phone (816) 347-4890

120 NE Saint Lukes Blvd
Ste 220
Lees Summit, MO 64086
Phone (816) 347-5800

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1679289441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 400",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-932-0288",
            "fax_number": "816-932-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 400",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-932-0288",
            "fax_number": "816-932-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5844 NW Barry Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641541483",
            "country_code": "US",
            "telephone_number": "816-932-0288",
            "fax_number": "816-932-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12330 Metcalf Ave Ste 500B",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131324",
            "country_code": "US",
            "telephone_number": "816-932-0288",
            "fax_number": "816-932-7490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 NE Saint Lukes Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866011",
            "country_code": "US",
            "telephone_number": "816-932-0288",
            "fax_number": "816-932-7490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESNIEWSKI",
        "first_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.