Individual provider Active NPI

Emily Rose McClanahan, APRN

  • Family Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1952066672
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021044944 Issued in MO
Practice address
110 NE Saint Lukes Blvd Ste 530
Lees Summit, MO 64086-6075
Phone
(816) 554-3838
Fax
(816) 524-5110
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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 2021044944 MO Primary

Addresses

Primary practice location

110 NE Saint Lukes Blvd Ste 530
Lees Summit, MO 64086-6075

Mailing address

110 NE Saint Lukes Blvd Ste 530
Lees Summit, MO 64086-6075
Phone (816) 554-3838

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 816-554-1634

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
I20211217000445 MO Practitioner - Nurse Practitioner 0143611681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Health Specialists LLCGroup PAC ID 9739494832, 69 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Saint Luke'S East Hospital
Lees Summit, MO 64086-6000
Phone (816) 554-3838

120 NE Saint Lukes Blvd
Saint Luke'S East Surgery Center
Lees Summit, MO 64086-6000
Phone (816) 554-3838

3800 S Whitney Ave
Independence, MO 64055-6739
Phone (816) 478-4887

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021044944MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Gastroenterology LLC CurrentSince Nov 16, 2021 Accepting new patients
Digestive Health Specialists, LLC CurrentSince Nov 3, 2021 Accepting new patients
Ascentist Physicians Group, LLC PastSince May 21, 2019 Accepting new patients

Locations

4550 W 109th St
Ste 200
Overland Park, KS 66211
Phone 9137213387 ext. 13387

3800 S Whitney Ave
Ste 100
Independence, MO 64055

120 NE Saint Lukes Blvd
#275
Lees Summit, MO 64086

110 NE Saint Lukes Blvd
Ste 530
Lees Summit, MO 64086

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1952066672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NE SAINT LUKES BLVD STE 530",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866075",
            "telephone_number": "816-554-3838",
            "fax_number": "816-524-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NE SAINT LUKES BLVD STE 530",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866075",
            "telephone_number": "816-554-3838",
            "fax_number": "816-524-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021044944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "816-554-1634",
            "affiliation": "N",
            "address_1": "110 NE Saint Lukes Blvd Ste 530",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640866075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.