Individual provider Active NPI

Jessica Cline

  • Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1831595404
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2014036365 Issued in MO
Practice address
3600 NE Ralph Powell Rd
Suite B
Lees Summit, MO 64064-2369
Phone
(816) 478-0111
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 2014036365 MO Primary

Addresses

Primary practice location

3600 NE Ralph Powell Rd
Suite B
Lees Summit, MO 64064-2369

Mailing address

3600 NE Ralph Powell Rd
Suite B
Lees Summit, MO 64064-2369

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JESSICA.CLINE@hca2.eclinicaldirectplus.com

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
I20150130000259 MO Practitioner - Nurse Practitioner 0941524565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
96.78
Promoting interoperability
100
Improvement activities
40
Cost
75.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014036365MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Specialist of Lee's Summit, LLC CurrentSince Jun 13, 2016 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Past Accepting new patients

Locations

2000 SE Blue Pkwy
Ste 270B
Lees Summit, MO 64063
Phone (816) 333-5005

1301 SW Arborwalk Blvd
#A
Lees Summit, MO 64082
Phone (816) 537-6232

Interoperability endpoints

  • Direct secure messaging: jessica.cline@hca2.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1831595404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD",
            "address_2": "SUITE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642369",
            "telephone_number": "816-478-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014036365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JESSICA.CLINE@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3600 NE Ralph Powell Rd",
            "address_2": "SUITE B",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640642369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.