Individual provider Active NPI

Sarah Ann Payne, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1942830872
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2019046177 Issued in MO
Practice address
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Phone
(816) 347-4411
NPI assigned
Jan 20, 2020
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2019046177 MO Primary

Addresses

Primary practice location

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

Mailing address

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

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
I20200624001070 KS Practitioner - Nurse Practitioner 1658793427 Reassigns benefits to 2 organizations
I20200624001386 MO Practitioner - Nurse Practitioner 1658793427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mep Kansas LLCGroup PAC ID 1052437217, 61 clinicians
Metro Emergency Physician LLCGroup PAC ID 2264332022, 55 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019046177MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Medical Center - Maryville CurrentSince May 6, 2023 Accepting new patients
VA Eastern Kansas Health Care System CurrentSince Jan 13, 2024 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Jun 16, 2020 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince May 6, 2023 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Mep Kansas LLC CurrentSince Jan 13, 2024 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886

6101 W 119th St
Overland Park, KS 66209
Phone (913) 345-9339

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

101 SW Cross Creek Dr
Grain Valley, MO 64029
Phone (816) 224-2700

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

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

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

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1395

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

Organizations & group practices 6

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 3

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1942830872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE SAINT LUKES BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE SAINT LUKES BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-347-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2019046177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.