Individual provider Active NPI

Sherry Panzica, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1902078702
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2001029543 Issued in MO
Practice address
5844 NW Barry Rd Ste 110
Kansas City, MO 64154
Phone
(816) 880-6100
Fax
(816) 746-1226
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 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 46189 KS
Family Nurse Practitioner 363LF0000X 2001029543 MO Primary

Addresses

Primary practice location

5844 NW Barry Rd Ste 110
Kansas City, MO 64154

Mailing address

5844 NW Barry Rd Ste 110
Kansas City, MO 64154-1483
Phone (816) 880-6100

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
I20080624000188 MO Practitioner - Nurse Practitioner 2567533292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Talk Health FL PAGroup PAC ID 3173995966, 31 clinicians

Practice addresses (Care Compare)

1218 NW 94TH Ter
Kansas City, MO 64155-2700
Phone (443) 929-1478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46189KSMDFamily Nurse Practitioner
2001029543MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Apr 1, 2024 Accepting new patients
Cobblestone Specialty Care Inc Past Accepting new patients

Locations

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1902078702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541483",
            "telephone_number": "816-880-6100",
            "fax_number": "816-746-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 NW BARRY RD STE 110",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-880-6100",
            "fax_number": "816-746-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZICA",
        "first_name": "SHERRY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "46189",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2001029543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.