Individual provider Active NPI

Antonio Lamont Cuthbertson, FNP-C

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1841905593
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-81845-072 Issued in KS
Practice address
16538 W 159TH Ter
Olathe, KS 66062-3924
Phone
(913) 355-8660
NPI assigned
Jan 17, 2023
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 53-81845-072 KS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-81845-072 KS

Addresses

Primary practice location

16538 W 159TH Ter
Olathe, KS 66062-3924

Mailing address

16538 W 159TH Ter
Olathe, KS 66062-3924
Phone (913) 355-8660

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
I20230417002263 KS Practitioner - Nurse Practitioner 4587039946 Reassigns benefits to 4 organizations
I20231219001777 MO Practitioner - Nurse Practitioner 4587039946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Hospitalist Services PAGroup PAC ID 6103171160, 46 clinicians
Pandc Healthcare LLCGroup PAC ID 3779861109, 38 clinicians

Practice addresses (Care Compare)

1301 S Main St
Ottawa, KS 66067-3537
Phone (785) 229-8200

19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.74 of 100Reported as group
Quality
16.27
Promoting interoperability
0
Improvement activities
0
Cost
66.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-81845-072KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P&C Healthcare LLC CurrentSince Nov 1, 2024 Accepting new patients
Kansas Hospitalist Services PA CurrentSince Nov 3, 2025 Accepting new patients
Vitality Pain Relief LLC Family CurrentSince Jul 8, 2023 Accepting new patients
Bert Nash Community Mental Health Center Inc CurrentSince Dec 18, 2023 Accepting new patients
P & C Consultant Services Past Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

200 Maine St
Ste A
Lawrence, KS 66044
Phone (785) 832-8192

1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367

14876 Metcalf Ave
Overland Park, KS 66223
Phone (913) 808-5245

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHAEDD

Organizations & group practices 8

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 5

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": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1841905593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16538 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623924",
            "telephone_number": "913-355-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16538 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623924",
            "telephone_number": "913-355-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTHBERTSON",
        "first_name": "ANTONIO",
        "middle_name": "LAMONT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81845-072",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-81845-072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.