Jessica Grace Kretchmar, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lees Summit, MO
NPI 1740926799 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1740926799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2022011604 (MO)
- Practice address
- 2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379 - Phone
- (816) 525-2840
- Fax
- (816) 525-2841
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Orthopedics and Sports Medicine
Practice addresses (Care Compare)
2861 NE Independence Ave
Suite 201
Lees Summit, MO 64064-2379
Phone (816) 525-2840
505 S Hospital Dr
Paola, KS 66071-1850
Phone (816) 525-2840
Hospital & facility affiliations
- Saint Luke'S South Hospital
- Lee'S Summit Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230428002001 | MO | Practitioner - Nurse Practitioner | 5698130532 | Reassigns benefits to 1 organization |
| I20230531000620 | KS | Practitioner - Nurse Practitioner | 5698130532 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-81093-051 | KS | MD | Family Nurse Practitioner |
| 2022011604 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics and Sports Medicine | Current |
Accepting new patients | |
| Advanced Orthopedics and Sports Medicine | Current |
Accepting new patients |
Locations
11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020
4940 W 137th St
Ste B
Overland Park, KS 66224
Phone (913) 232-9846
505 S Hospital Dr
Paola, KS 66071
Phone (913) 232-9846
2861 NE Independence Ave
Ste 201
Lees Summit, MO 64064
Phone (660) 281-8118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-81093-051 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2022011604 | MO | Yes |
Addresses
Primary practice location
2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379
Mailing address
9640 Hayes St
Overland Park, KS 66212-5031
Phone (785) 341-1654
Other practice location 1
4940 W 137th St Ste B
Leawood, KS 66224-3633
Phone (816) 525-2840
Other names
- Jessica G Levering
Other providers in Lees Summit, MO
- Andrew Krause
- Brad J Krause
- Muhammad Rashad Krause
- Festus J Krebs III
- Ashley Diane Krehbiel
- Leah Krieger
- Kristen Schreiner DDS LLC
- Lindsay Kroll
- Paige Beckett Kropuenske
- Meredith Amber Kruse
All providers in Lees Summit, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.