Individual provider Active NPI

Faye Ellen Vandendaele, ARNP

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1851483101
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
080187 Issued in MO
Practice address
8101 State Ave
Kansas City, KS 66112-2421
Phone
(612) 659-7111
Fax
(612) 659-7101
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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 45967 KS
Family Nurse Practitioner 363LF0000X 080187 MO Primary

Addresses

Primary practice location

8101 State Ave
Kansas City, KS 66112-2421

Mailing address

10001 NE Vrooman Dr
Kansas City, MO 64161-9647
Phone (816) 454-9583

Other names 1

  • Faye Ellen Smith 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
I20081106000065 MO Practitioner - Nurse Practitioner 9133288160 Reassigns benefits to 2 organizations
I20090615000070 KS Practitioner - Nurse Practitioner 9133288160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

6420 N Prospect Ave
Creekwood Urgent Care
Gladstone, MO 64119-1530
Phone (913) 574-2273

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc CurrentSince Apr 30, 2014 Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 5, 2020 Accepting new patients
Jayhawk Primary Care Inc CurrentSince Jun 10, 2017 Accepting new patients
Jayhawk Primary Care Inc Current Accepting new patients
Kansas University Physicians, Inc. CurrentSince Feb 5, 2020 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Jayhawk Primary Care Inc CurrentSince Apr 30, 2014 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

6420 N Prospect Ave
Gladstone, MO 64119
Phone (913) 945-9700

12121 Blue Ridge Ext
Ste M
Grandview, MO 64030
Phone (816) 761-0684

5601 N Antioch Rd
Ste 12
Kansas City, MO 64119
Phone (816) 452-8000

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1851483101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 NE VROOMAN DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641619647",
            "telephone_number": "816-454-9583",
            "fax_number": "612-659-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122421",
            "telephone_number": "612-659-7111",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENDAELE",
        "first_name": "FAYE",
        "middle_name": "ELLEN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "080187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAYE",
            "last_name": "SMITH",
            "middle_name": "ELLEN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.