Individual provider Active NPI

Toni Petralie

  • Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1790403582
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-81453-122 Issued in KS
Practice address
8000 Mercier St
Kansas City, MO 64114-2122
Phone
(816) 929-4455
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81453-122 KS Primary

Addresses

Primary practice location

8000 Mercier St
Kansas City, MO 64114-2122

Mailing address

8000 Mercier St
Kansas City, MO 64114-2122
Phone (816) 929-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20230501000778 KS Practitioner - Nurse Practitioner 9436514213 Reassigns benefits to 2 organizations
I20230717000814 MO Practitioner - Nurse Practitioner 9436514213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

1101 S 7 Hwy
Blue Springs, MO 64014-3204
Phone (816) 251-5800

5151 Troost Ave
Suite 200
Kansas City, MO 64110-2524
Phone (816) 502-9130

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

8860 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8101

8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81453-122KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jan 26, 2023 Accepting new patients
Saint Luke'S Physician Group Inc Nurse Practitioner CurrentSince Mar 25, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jun 13, 2023 Accepting new patients

Locations

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: tpetralie656067@direct.saint-lukes.org

Organizations & group practices 3

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 4

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1790403582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MERCIER ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142122",
            "telephone_number": "816-929-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MERCIER ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142122",
            "telephone_number": "816-929-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRALIE",
        "first_name": "TONI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81453-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.