Individual provider Active NPI

Rebecca Elizabeth Holt, APRN

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1801435052
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019023508 Issued in MO
Practice address
20 NE Saint Lukes Blvd Ste 330
Lees Summit, MO 64086-6001
Phone
(816) 347-4420
Fax
(816) 347-4421
NPI assigned
Jan 4, 2020
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 2019023508 MO Primary

Addresses

Primary practice location

20 NE Saint Lukes Blvd Ste 330
Lees Summit, MO 64086-6001

Mailing address

20 NE Saint Lukes Blvd Ste 330
Lees Summit, MO 64086-6001
Phone (816) 347-4420

Other names 1

  • Ms. Rebecca Elizabeth Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20200331000641 MO Practitioner - Nurse Practitioner 2769811504 Reassigns benefits to 2 organizations
I20241210002846 KS Practitioner - Nurse Practitioner 2769811504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

20 NE Saint Lukes Blvd
Suite 330
Lees Summit, MO 64086-6001
Phone (816) 347-4420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Enhanced Wound Care LLC CurrentSince Nov 1, 2024 Accepting new patients
Enhanced Wound Care LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

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

9393 W 110th St
Ste 509
Overland Park, KS 66210
Phone (913) 429-3068

9393 W 110th St
Ste 527
Overland Park, KS 66210
Phone (918) 231-8724

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

4320 Wornall Rd
Ste 600
Kansas City, MO 64111
Phone (816) 932-2068

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

20 NE Saint Lukes Blvd
Ste 330
Lees Summit, MO 64086
Phone (816) 347-4420

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

6440 Avondale Dr
Nichols Hills, OK 73116

6440 Avondale Dr
Ste 202
Nichols Hills, OK 73116
Phone (918) 231-8724

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1801435052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 330",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-347-4420",
            "fax_number": "816-347-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD STE 330",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-347-4420",
            "fax_number": "816-347-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019023508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CLARK",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.