Individual provider Active NPI

Mary Alfonsin, ARNP

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1861873556
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TMP 151317 Issued in KS
Practice address
University of Kansas Hospital
3901 Rainbow Blvd. Mail Stop 2018
Kansas City, KS 66160-0001
Phone
(913) 588-6029
Fax
(913) 588-4085
NPI assigned
Jun 18, 2015
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TMP 151317 KS Primary
Registered Nurse 163W00000X 13-98436 KS
Registered Nurse 163W00000X 2007016746 MO

Addresses

Primary practice location

University of Kansas Hospital
3901 Rainbow Blvd. Mail Stop 2018
Kansas City, KS 66160-0001

Mailing address

University of Kansas Hospital
3901 Rainbow Blvd. Mail Stop 2018
Kansas City, KS 66160-0001
Phone (913) 588-6029

Other names 1

  • Mary St. George Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20150825004052 KS Practitioner - Nurse Practitioner 6002122850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2330 Shawnee Mission Pkwy
Westwood, KS 66205-2005
Phone (913) 588-7750

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

State licenses

LicenseStateTypeSpecialty
13-98436KSMDRegistered Nurse
2007016746MOMDRegistered Nurse
TMP 151317KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
University of Kansas Hospital Authority CurrentSince Aug 11, 2015 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 13, 2018 Accepting new patients
University of Kansas Hospital Authority CurrentSince Aug 11, 2015 Accepting new patients
Kansas University Physicians Inc CurrentSince Aug 13, 2018 Accepting new patients

Locations

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

3901 Rainbow Blvd
Stop 2018
Kansas City, KS 66160
Phone (913) 588-9941

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

Organizations & group practices 5

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 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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1861873556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS HOSPITAL",
            "address_2": "3901 RAINBOW BLVD. MAIL STOP 2018",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6029",
            "fax_number": "913-588-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF KANSAS HOSPITAL",
            "address_2": "3901 RAINBOW BLVD. MAIL STOP 2018",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6029",
            "fax_number": "913-588-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSIN",
        "first_name": "MARY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP 151317",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-98436",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007016746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ST. GEORGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.