Individual provider Active NPI

Rebecca Anne Poage, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1811539372
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020005901 Issued in MO
Practice address
9151 NE 81St Ter Ste 105
Kansas City, MO 64158-1176
Phone
(816) 994-8787
Fax
(816) 994-8788
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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 2020005901 MO Primary

Addresses

Primary practice location

9151 NE 81St Ter Ste 105
Kansas City, MO 64158-1176

Mailing address

9151 NE 81St Ter Ste 105
Kansas City, MO 64158-1176
Phone (816) 994-8787

Other names 1

  • Rebecca Anne Black Former name

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
I20200312000875 MO Practitioner - Nurse Practitioner 3375971021 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
Clay Platte Family Medicine ClinicGroup PAC ID 3173424231, 24 clinicians

Practice addresses (Care Compare)

9151 NE 81St Ter
105 Barry Pointe Family Care
Kansas City, MO 64158-1176
Phone (816) 994-8787

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clay Platte Family Medicine Clinic CurrentSince Jul 15, 2023 Accepting new patients
Clay Platte Family Medicine Clinic CurrentSince Jul 15, 2023 Accepting new patients

Locations

9151 NE 81st Ter
Ste 105
Kansas City, MO 64158
Phone (816) 695-9487

5501 NW 62nd Ter
Ste 100
Kansas City, MO 64151
Phone (816) 842-4440

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/032e9fee-d494-4ca3-97ce-b40c8d2eecf6/
  • Direct secure messaging: rebecca.poage.p1@direct.bpfc.nextgenshare.com

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 3

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1811539372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581176",
            "telephone_number": "816-994-8787",
            "fax_number": "816-994-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581176",
            "telephone_number": "816-994-8787",
            "fax_number": "816-994-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAGE",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020005901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BLACK",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.