Individual provider Active NPI

Karen Elaine Leuenberger, PAC

  • Medical Physician Assistant
  • Kansas City, MO
National Provider Identifier
1689856510
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2008033257 Issued in MO
Practice address
4601 Independence Ave
Kansas City, MO 64124
Phone
(816) 241-6334
Fax
(816) 241-5830
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2008033257 MO Primary

Addresses

Primary practice location

4601 Independence Ave
Kansas City, MO 64124

Mailing address

3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

Other names 1

  • Miss Karen Elaine Owens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180214000847 MO Practitioner - Physician Assistant 9032408596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Care ClinicGroup PAC ID 9335386168, 7 clinicians

Practice addresses (Care Compare)

3501 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

4601 Independence Ave
Kansas City, MO 64124-2927
Phone (816) 753-5144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Care Clinic CurrentSince Jan 9, 2018 Accepting new patients
Kansas City Care Clinic Past Accepting new patients

Locations

3515 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144

4601 Independence Ave
Kansas City, MO 64124
Phone (816) 241-6334

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1689856510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112501",
            "telephone_number": "816-753-5144",
            "fax_number": "816-241-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 INDEPENDENCE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64124",
            "telephone_number": "816-241-6334",
            "fax_number": "816-241-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUENBERGER",
        "first_name": "KAREN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2008033257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "OWENS",
            "middle_name": "ELAINE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.