Individual provider Active NPI

Gretchen Davis, FNP-C

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1891182267
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015011913 Issued in MO
Practice address
3066 SW Grandstand Cir
Lees Summit, MO 64081-3866
Phone
(913) 215-5008
Fax
(816) 447-3960
NPI assigned
Apr 23, 2015
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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 2015011913 MO Primary

Addresses

Primary practice location

3066 SW Grandstand Cir
Lees Summit, MO 64081-3866

Mailing address

PO Box 875743
Kansas City, MO 64187-5743
Phone (913) 215-5008

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
I20150522001768 MO Practitioner - Nurse Practitioner 9830419399 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
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

Practice addresses (Care Compare)

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

600 NE Meadowview Dr
Lee's Summit, MO 64064-1983
Phone (816) 554-9866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015011913MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince May 13, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Jan 6, 2026 Accepting new patients
Complete Coverage LLC Past Accepting new patients

Locations

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866

2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Organizations & group practices 3

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 6

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1891182267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 SW GRANDSTAND CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813866",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRETCHEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015011913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.