Individual provider Active NPI

Hannah Eagleburger, PA-C

  • Surgical Physician Assistant
  • Kansas City, MO
National Provider Identifier
1730669169
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
4321 Wornall Rd
Ste 530
Kansas City, MO 64111
Phone
(816) 932-0288
Fax
(816) 932-9868
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

4321 Wornall Rd
Ste 530
Kansas City, MO 64111

Mailing address

119 S Jeffreys St
Pleasant Hill, MO 64080-1718
Phone (816) 719-5678

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
I20181018002596 MO Practitioner - Physician Assistant 5890048904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Saint Luke'S East Hospital
Lees Summit, MO 64086-6000
Phone (816) 246-4302

120 NE Saint Lukes Blvd
Saint Luke'S Surgicenter
Lees Summit, MO 64086-6000
Phone (816) 246-4302

120 NE Saint Lukes Blvd
Suite 200
Lees Summit, MO 64086-6011
Phone (816) 246-4302

600 NE Adams Dairy Pkwy
Blue Springs, MO 64014-5493
Phone (816) 246-4302

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Merit-based Incentive Payment System (MIPS)

Final score
76.72 of 100Reported as group
Quality
51.33
Promoting interoperability
99
Improvement activities
40
Cost
71.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockhill Orthopaedic Specialists Inc CurrentSince Sep 5, 2023 Accepting new patients
Rockhill Orthopaedic Specialists Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

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

120 NE Saint Lukes Blvd
Ste 200
Lees Summit, MO 64086
Phone (816) 251-7202

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

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 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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1730669169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S JEFFREYS ST",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801718",
            "telephone_number": "816-719-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WORNALL RD",
            "address_2": "STE 530",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-932-0288",
            "fax_number": "816-932-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLEBURGER",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.