Individual provider Active NPI

Michelle Goss, APRN

  • Adult Health Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1831585355
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2015010662 Issued in MO
Practice address
5527 Central St
Kansas City, MO 64113-1205
Phone
(816) 444-3177
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2015010662 MO Primary

Addresses

Primary practice location

5527 Central St
Kansas City, MO 64113-1205

Mailing address

5527 Central St
Kansas City, MO 64113-1205
Phone (816) 444-3177

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
I20170110001547 MO Practitioner - Nurse Practitioner 8123309978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Care ClinicGroup PAC ID 9335386168, 7 clinicians

Practice addresses (Care Compare)

3501 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

3515 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 753-5144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015010662MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Care Clinic CurrentSince Dec 5, 2016 Accepting new patients
Kansas City Care Clinic Current Accepting new patients
Kansas City Care Clinic CurrentSince Dec 5, 2016 Accepting new patients

Locations

3515 Broadway Blvd
Kansas City, MO 64111
Phone (816) 753-5144

2340 E Meyer Blvd
Ste 200
Kansas City, MO 64132
Phone (816) 753-5144

3501 Broadway Blvd
Kansas City, MO 64111
Phone (816) 723-7114

4601 Independence Ave
Kansas City, MO 64124
Phone (816) 241-6334

Interoperability endpoints

  • Direct secure messaging: michelleg@kansascitycareclinic.directbygreenway.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1831585355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 CENTRAL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131205",
            "telephone_number": "816-444-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 CENTRAL ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131205",
            "telephone_number": "816-444-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015010662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.