Active NPI
Amanda C Caldwell, APRN
- Family Nurse Practitioner
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 77164
- Practice address
- 11301 Nall Ave Ste 205
Leawood, KS 66211-1774 - NPI assigned
- Mar 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016028880 | MO | |
| Family Nurse Practitioner | 363LF0000X | 77164 | KS | Primary |
Addresses
Primary practice location
11301 Nall Ave Ste 205
Leawood, KS 66211-1774
Mailing address
2200 SW 6TH Ave Ste 104
Topeka, KS 66606-1707
Phone (785) 354-8518
Other practice location 1
19101 E Valley View Pkwy Ste A
Independence, MO 64055-6907
Phone (816) 795-3353
Other names 1
- Amanda C Marsh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dermatology and Skin Cancer Specialists LLC
Practice addresses (Care Compare)
3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-3082
Phone (816) 205-4123
7901 W 135TH St
Overland Park, KS 66223-1201
Phone (913) 451-7546
Hospital & facility affiliations
- Western Missouri Medical Center
- Bothwell Regional Health Center
- Golden Valley Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016028880 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin & Mohs Surgery Center, LLC | Current | Accepting new patients | |
| Skin & Mohs Surgery Center, LLC | Current | Accepting new patients | |
| Dermatology and Skin Cancer Specialists, LLC. | Current | Accepting new patients | |
| Neosho Memorial Regional Medical Center | Current | Accepting new patients | |
| Neosho Memorial Regional Medical Center | Current | Accepting new patients | |
| Dermatology and Skin Cancer Specialists, LLC | Current | Accepting new patients | |
| Nmrmc Urology Clinic | Current | Accepting new patients | |
| Kansas Medical Clinic, PA | Past | Accepting new patients |
Locations
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546
7901 W 135th St
Overland Park, KS 66223
Phone (913) 451-7546
3265 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-4747
3107 Frederick Ave
Ste B
Saint Joseph, MO 64506
Phone (816) 233-9888
609 E Young Ave
Unit A2
Warrensburg, MO 64093
Phone (660) 864-0511
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
- acaldwell220846@direct.saint-lukes.org
- https://fhir4.healow.com/fhir/r4/JJICCA
Organizations & group practices 9
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.
-
- Dermatology Physician
- Leawood, KS
- NPI 1205880846
-
- General Acute Care Hospital
- Chanute, KS
- NPI 1053442772
-
- Dermatology Physician
- Lees Summit, MO
- NPI 1366632697
-
- Medical Specialty Clinic/Center
- Chanute, KS
- NPI 1023251469
-
- Urology Physician
- Chanute, KS
- NPI 1760346316
-
- Ambulatory Surgical Clinic/Center
- Leawood, KS
- NPI 1669577524
-
- Ambulatory Surgical Clinic/Center
- Lees Summit, MO
- NPI 1881875227
-
- Non-Pharmacy Dispensing Site
- Topeka, KS
- NPI 1467825679
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- General Acute Care Hospital
- Warrensburg, MO
- NPI 1083601330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581724800000",
"number": "1871954552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 SW 6TH AVE STE 104",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666061707",
"telephone_number": "785-354-8518",
"fax_number": "785-354-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 NALL AVE STE 205",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111774"
}
],
"practiceLocations": [
{
"address_1": "19101 E Valley View Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640556907",
"country_code": "US",
"telephone_number": "816-795-3353",
"fax_number": "816-795-3354",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "AMANDA",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-09",
"last_updated": "2020-02-15",
"certification_date": "2020-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016028880",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "77164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MARSH",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.