Individual provider Active NPI

Amanda C Caldwell, APRN

  • Family Nurse Practitioner
  • Leawood, KS
National Provider Identifier
1871954552
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
77164 Issued in KS
Practice address
11301 Nall Ave Ste 205
Leawood, KS 66211-1774
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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 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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20160503002342 KS Practitioner - Nurse Practitioner 6507165107 Reassigns benefits to 2 organizations
I20171020001368 MO Practitioner - Nurse Practitioner 6507165107 Reassigns benefits to 2 organizations

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 LLCGroup PAC ID 5294721486, shared by 2 NPIs, 44 clinicians

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 Hospital, Warrensburg, MO, CCN 260097
  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016028880MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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. CurrentSince Oct 1, 2023 Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Mar 28, 2016 Accepting new patients
Neosho Memorial Regional Medical Center Current Accepting new patients
Dermatology and Skin Cancer Specialists, LLC CurrentSince Oct 1, 2023 Accepting new patients
Nmrmc Urology Clinic CurrentSince Mar 28, 2016 Accepting new patients
Kansas Medical Clinic, PA PastSince Feb 23, 2020 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
  • Direct secure messaging: acaldwell220846@direct.saint-lukes.org
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.