Individual provider Active NPI

Lara S. Wilson, AGNP-C

  • Adult Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1730573122
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2008020256 Issued in MO
Practice address
6675 Holmes Rd
Ste 550
Kansas City, MO 64131-1150
Phone
(816) 363-7710
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2008020256 MO Primary

Addresses

Primary practice location

6675 Holmes Rd
Ste 550
Kansas City, MO 64131-1150

Mailing address

6119 Russell St
Mission, KS 66202-3220
Phone (816) 838-1978

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
I20150619001426 MO Practitioner - Nurse Practitioner 4587975354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care of E. Jackson County LLCGroup PAC ID 8426068693, 10 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Independence, MO 64057-2301
Phone (816) 698-7000

4911 S Arrowhead Dr
Independence, MO 64055-7008
Phone (816) 503-3700

725 N 7 Hwy
Blue Springs, MO 64014-2426
Phone (816) 229-8187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
96.91
Promoting interoperability
100
Improvement activities
40
Cost
78.27

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
78.92
Promoting interoperability
99
Improvement activities
40
Cost
71.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2008020256MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care of E. Jackson County LLC CurrentSince Dec 2, 2024 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Past Accepting new patients

Locations

725 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 229-8187

4911 S Arrowhead Dr
Ste 200
Independence, MO 64055
Phone (816) 503-3700

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: lara.wilson@hca2.eclinicaldirectplus.com

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.

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": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1730573122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 RUSSELL ST",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023220",
            "telephone_number": "816-838-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "STE 550",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-363-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LARA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2008020256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.