Individual provider Active NPI

Stephanie Anne Korth

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1851932685
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019025823 Issued in MO
Practice address
2101 Charlotte St
Kansas City, MO 64108-2727
Phone
(816) 404-2222
NPI assigned
Oct 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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 2019025823 MO Primary

Addresses

Primary practice location

2101 Charlotte St
Kansas City, MO 64108-2727

Mailing address

1317 SW Hidden Creek CT
Blue Springs, MO 64015-8810
Phone (816) 721-9287

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-4020

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
I20191119001985 MO Practitioner - Nurse Practitioner 6103258827 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
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048
  • University Health Lakewood Medical Center Hospital, Kansas City, MO, CCN 260102

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019025823MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Nov 23, 2019 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 23, 2019 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

19000 E Eastland Center Ct
Ste 100
Independence, MO 64055
Phone (816) 876-2900

2301 Holmes St
Kansas City, MO 64108

7900 Lees Summit Rd
Ofc
Kansas City, MO 64139
Phone (816) 404-9030

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

Organizations & group practices 4

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1851932685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 SW HIDDEN CREEK CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640158810",
            "telephone_number": "816-721-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHARLOTTE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082727",
            "telephone_number": "816-404-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-4020",
            "fax_number": "816-404-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORTH",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019025823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.