Individual provider Active NPI

Lance Adkins Vickery, APRN

  • Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1801101613
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2011034116 Issued in MO
Practice address
600 NW Pryor Rd
Lees Summit, MO 64081-1104
Phone
(816) 500-0487
NPI assigned
Aug 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 141455 KS
Nurse Practitioner 363L00000X 2011034116 MO Primary

Addresses

Primary practice location

600 NW Pryor Rd
Lees Summit, MO 64081-1104

Mailing address

600 NW Pryor Rd
Lees Summit, MO 64081-1104
Phone (816) 500-0487

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
I20110114000184 KS Practitioner - Nurse Practitioner 7517156094 Reassigns benefits to 2 organizations
I20121023000549 MO Practitioner - Nurse Practitioner 7517156094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Geriatrics LLCGroup PAC ID 8325194277, 2 clinicians

Practice addresses (Care Compare)

200 NE Missouri Rd
Suite 200
Lees Summit, MO 64086-4722
Phone (816) 318-9400

908 N Pearl St
North Pointe Skilled Nursing
Paola, KS 66071-1140
Phone (913) 294-4308

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100Reported as group
Quality
84.57
Improvement activities
40
Cost
80.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
141455KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Geriatrics LLC CurrentSince May 1, 2017 Accepting new patients
John Knox Village PastSince Feb 1, 2023 Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients

Locations

201 E Flaming Rd
Olathe, KS 66061
Phone (913) 780-4844

1017 Main St
Osage City, KS 66523
Phone (785) 367-4902

7541 Switzer St
Overland Park, KS 66214
Phone (913) 248-7730

11901 Rosewood St
Overland Park, KS 66209
Phone (913) 345-1745

908 N Pearl St
Paola, KS 66071
Phone (913) 294-4308

2515 SW Wanamaker Rd
Topeka, KS 66614
Phone (785) 271-6808

1800 S Swope Dr
Independence, MO 64057
Phone (816) 257-2566

8033 Holmes Rd
Kansas City, MO 64131
Phone (816) 363-6222

10425 Chestnut Dr
Kansas City, MO 64137
Phone (816) 763-4444

12942 Wornall Rd
Kansas City, MO 64145
Phone (816) 423-8500

600 NW Pryor Rd
Lees Summit, MO 64081
Phone (816) 251-8000

200 NE Missouri Rd
Ste 200
Lees Summit, MO 64086
Phone (816) 251-4525

600 E Sunrise Dr
Raymore, MO 64083
Phone (816) 322-1991

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

Organizations & group practices 4

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 2

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1801101613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW PRYOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811104",
            "telephone_number": "816-500-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW PRYOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811104",
            "telephone_number": "816-500-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "LANCE",
        "middle_name": "ADKINS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "141455",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011034116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.