Individual provider Active NPI

Priscilla E Atu-Tetuh

  • Psychiatric/Mental Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1740809755
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019060672 Issued in MO
Practice address
300 W 19TH Ter
Kansas City, MO 64108-2026
Phone
(816) 404-6402
NPI assigned
Apr 9, 2020
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 236374 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-79344-042 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019060672 MO Primary

Addresses

Primary practice location

300 W 19TH Ter
Kansas City, MO 64108-2026

Mailing address

300 W 19TH Ter
Kansas City, MO 64108-2026
Phone (816) 404-6402

Other practice location 1

5300 W 94th Ter
Prairie Village, KS 66207-2504
Phone (913) 381-8555

Other identifiers 1

IdentifierTypeStateIssuer
420084700MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AK2 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
I20220425002343 KS Practitioner - Nurse Practitioner 1153746102 Reassigns benefits to 2 organizations
I20251105003706 AK Practitioner - Nurse Practitioner 1153746102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Univ of Missouri-Kansas City School of Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Associates PAGroup PAC ID 9739084112, 23 clinicians

Practice addresses (Care Compare)

8629 Bluejacket St
Lenexa, KS 66214-1604
Phone (913) 677-3553

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
236374AKMDPsychiatric/Mental Health Nurse Practitioner
53-79344-042KSMDPsychiatric/Mental Health Nurse Practitioner
2019060672MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Community Mental Health and Recovery Center LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Pacck Health Care Inc Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Clinical Associates PA CurrentSince Mar 16, 2022 Accepting new patients
Truman Medical Center Incorporated Past Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

4119 Mountain View Dr
Anchorage, AK 99508
Phone (907) 222-4851

8629 Bluejacket St
Overland Park, KS 66214
Phone (913) 677-3553

2611 SW 17th St
Topeka, KS 66604
Phone (785) 250-5002

Interoperability endpoints

  • Direct secure messaging: priscilla.atu-tetuh.1@27047.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1740809755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 19TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082026",
            "telephone_number": "816-404-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 19TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082026",
            "telephone_number": "816-404-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 W 94th Ter",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662072504",
            "country_code": "US",
            "telephone_number": "913-381-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATU-TETUH",
        "first_name": "PRISCILLA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "236374",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-79344-042",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019060672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420084700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.