Nicole Ann Zwick, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-78064-072 Issued in KS

Practice address

622 N Crest Dr
Raymore, MO 64083-8525

Phone

(913) 731-6865

NPI assigned

Feb 7, 2018

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Menorah Medical Group, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1386957223

  MO

  Medicare reassignment NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD
• KC Geriatrics LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kansas City, MO
  • NPI 1457956690
  NPD
• Colorectal Surgery Associates PC

  • Colon & Rectal Surgery Physician
  • Overland Park, KS
  • NPI 1730183120
  NPD
• Menorah Medical Group, LLC

  dba Kansas City Spine & Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1922358902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1912406778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 W 109TH ST STE 350",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111370",
            "telephone_number": "816-941-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N CREST DR",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838525",
            "telephone_number": "913-731-6865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4370 W 109th St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662111370",
            "country_code": "US",
            "telephone_number": "816-941-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZWICK",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2022-01-04",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018003490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78064-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICOLE.ZWICK@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4370 W 109th St Ste 350",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Wulff, LPC
• Soo Tong Yap, RPH
• Dalton Young
• Ershan Yu
• Nancy Kathleen Zaner, FNP

• Family Nurse Practitioner in Raymore, MO
• Providers in Raymore, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.