Individual provider Active NPI

Devin Leigh Schwartzburg

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1720796717
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022021638 Issued in MO
Practice address
211 NW Executive Way Ste E
Lees Summit, MO 64063-1846
Phone
(816) 509-3192
NPI assigned
Nov 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-81429-071 KS
Family Nurse Practitioner 363LF0000X 2022021638 MO Primary

Addresses

Primary practice location

211 NW Executive Way Ste E
Lees Summit, MO 64063-1846

Mailing address

3828 SW Windsong Dr
Lees Summit, MO 64082-4050
Phone (361) 442-8935

Other practice location 1

16400 College Blvd
Lenexa, KS 66219-1389
Phone (913) 825-4400

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
I20250730002545 MO Practitioner - Nurse Practitioner 8224545595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renova Medical Center LLCGroup PAC ID 3577811736, 4 clinicians

Practice addresses (Care Compare)

211 NW Executive Way
Suite E
Lees Summit, MO 64063-1846
Phone (573) 234-1367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81429-071KSMDFamily Nurse Practitioner
2022021638MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Medical Center, LLC CurrentSince Jul 9, 2025 Accepting new patients
Rose Family Chiropractic LLC Past Accepting new patients

Locations

1401 Forum Blvd
Ste 202
Columbia, MO 65203
Phone (573) 234-1367

503 E Nifong Blvd
Ste 102
Columbia, MO 65201

211 NW Executive Way
Ste E
Lees Summit, MO 64063
Phone (573) 234-1367

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1720796717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3828 SW WINDSONG DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824050",
            "telephone_number": "361-442-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NW EXECUTIVE WAY STE E",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631846",
            "telephone_number": "816-509-3192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16400 College Blvd",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662191389",
            "country_code": "US",
            "telephone_number": "913-825-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZBURG",
        "first_name": "DEVIN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81429-071",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022021638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.