Individual provider Active NPI

Olga Kulbatskaya

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1861983157
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018007350 Issued in MO
Practice address
3980 South Jackson Drive
Independence, MO 64057
Phone
(816) 795-1433
NPI assigned
May 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 2018007350 MO Primary

Addresses

Primary practice location

3980 South Jackson Drive
Independence, MO 64057

Mailing address

11905 Willow LN Apt 405
Overland Park, KS 66213-4205
Phone (316) 650-8301

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
I20180628002678 MO Practitioner - Nurse Practitioner 1850647173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.67 of 100Reported as group
Quality
78.43
Improvement activities
40
Cost
74.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedico Physicians of Missouri CurrentSince Jun 1, 2019 Accepting new patients

Locations

615 Rancho Ln
Florissant, MO 63031
Phone (314) 837-4438

1415 W White Oak St
Independence, MO 64050
Phone (800) 982-2669

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

221 Bolivar St
Jefferson Cty, MO 65101
Phone 56129936671572

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

11400 Hidden Lake Dr
Raytown, MO 64133
Phone (816) 737-1010

11901 Jessica Ln
Raytown, MO 64138
Phone (816) 358-3535

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1861983157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 WILLOW LN APT 405",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134205",
            "telephone_number": "316-650-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SOUTH JACKSON DRIVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-795-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBATSKAYA",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.