Individual provider Active NPI

Shayla Ebersold

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1740845213
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019017169 Issued in MO
Practice address
8700 N Green Hills Rd
Kansas City, MO 64154-1910
Phone
(913) 574-2550
Fax
(913) 574-2612
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019017169 MO Primary

Addresses

Primary practice location

8700 N Green Hills Rd
Kansas City, MO 64154-1910

Mailing address

8700 N Green Hills Rd
Kansas City, MO 64154-1910
Phone (913) 574-2550

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
I20190719001957 MO Practitioner - Nurse Practitioner 9234465873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8700 N Green Hiils Rd
Kansas City, MO 64154-1910
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019017169MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kansas Hospital Authority CurrentSince Feb 23, 2023 Accepting new patients
University of Kansas Hospital Authority CurrentSince Feb 23, 2023 Accepting new patients

Locations

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

8700 N Green Hills Rd
Kansas City, MO 64154
Phone (816) 746-4570

4321 Washington St
Ste 4000
Kansas City, MO 64111
Phone (816) 932-4549

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 5

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1740845213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 N GREEN HILLS RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541910",
            "telephone_number": "913-574-2550",
            "fax_number": "913-574-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 N GREEN HILLS RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541910",
            "telephone_number": "913-574-2550",
            "fax_number": "913-574-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERSOLD",
        "first_name": "SHAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019017169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.