Active NPI
Priscilla E Atu-Tetuh
- Psychiatric/Mental Health Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2019060672
- Practice address
- 300 W 19TH Ter
Kansas City, MO 64108-2026 - Phone
- (816) 404-6402
- NPI assigned
- Apr 9, 2020
- Last updated
- Aug 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420084700 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 236374 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
| 53-79344-042 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2019060672 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Community Mental Health and Recovery Center LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Pacck Health Care Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Clinical Associates PA | Current | 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
- 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.
-
- Specialist
- Lenexa, KS
- NPI 1477588085
-
- Psychiatric/Mental Health Nurse Practitioner
- Topeka, KS
- NPI 1477362010
-
- Psychiatric/Mental Health Nurse Practitioner
- Anchorage, AK
- NPI 1245997238
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
AK
-
dba University Health Anesthesia
- Anesthesiology Physician
- Kansas City, MO
- NPI 1588832091
-
- State or Local Public Health Clinic/Center
- Lee's Summit, MO
- NPI 1861697955
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.