Individual provider Active NPI

Amanda D Copenhaver, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1689264335
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80080-032 Issued in KS
Practice address
2101 Charlotte St
Kansas City, MO 64108-2727
Phone
(816) 404-7800
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021002930 MO
Family Nurse Practitioner 363LF0000X 2021002930 MO
Family Nurse Practitioner 363LF0000X 53-80080-032 KS Primary

Addresses

Primary practice location

2101 Charlotte St
Kansas City, MO 64108-2727

Mailing address

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-7800

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
I20220310001856 KS Practitioner - Nurse Practitioner 3577958453 Reassigns benefits to 1 organization
I20220310001957 MO Practitioner - Nurse Practitioner 3577958453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

2101 Charlotte St
Kansas City, MO 64108-2727
Phone (816) 404-2222

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021002930MOMDFamily Medicine Physician
53-80080-032KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 14, 2022 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated Family Medicine CurrentSince Oct 23, 2023 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Oct 23, 2023 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Nov 15, 2022 Accepting new patients

Locations

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: acopenhaver@landmarkhealth-direct.org

Organizations & group practices 5

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 1

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1689264335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082727",
            "telephone_number": "816-404-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082727",
            "telephone_number": "816-404-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAVER",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021002930",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021002930",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80080-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.