Individual provider Active NPI

Cheryl Ann Thompson

  • Nurse Practitioner
  • Independence, MO
National Provider Identifier
1891217923
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017010988 Issued in MO
Practice address
19550 E 39TH St S Ste 210
Independence, MO 64057-0013
Phone
(816) 478-9071
Fax
(816) 478-9144
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017010988 MO Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 210
Independence, MO 64057-0013

Mailing address

19550 E 39TH St S Ste 210
Independence, MO 64057-0013
Phone (816) 478-9071

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
I20170912000351 MO Practitioner - Nurse Practitioner 8224301353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

2000 SE Blue Pkwy
Suite 250
Lees Summit, MO 64063-1029
Phone (913) 906-0833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
64.66
Promoting interoperability
99
Improvement activities
40
Cost
71.3

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart & Vascular Specialists, LLC CurrentSince Aug 6, 2017 Accepting new patients

Locations

19550 E 39th St S
Ste 215
Independence, MO 64057
Phone (816) 461-6837

19550 E 39th St S
Ste 210
Independence, MO 64057
Phone (816) 478-9071

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

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

Interoperability endpoints

  • Direct secure messaging: cheryl.thompson@hca2.eclinicaldirectplus.com

Organizations & group practices 1

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 1

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891217923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 210",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640570013",
            "telephone_number": "816-478-9071",
            "fax_number": "816-478-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 210",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640570013",
            "telephone_number": "816-478-9071",
            "fax_number": "816-478-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017010988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.