Edward Aviles
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kansas City, MO
NPI 1972199347 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1972199347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2020041689 (MO)
- Practice address
- 3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460 - Phone
- (816) 468-0400
- NPI assigned
- Dec 18, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Tri-County Mental Health Services, Inc
Practice addresses (Care Compare)
3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.92 of 100
- Quality
- 36.72
- Improvement activities
- 40
- Cost
- 82.4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210210000608 | MO | Practitioner - Nurse Practitioner | 6800201591 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Mental Health Services, Inc. | Current |
Accepting new patients |
Locations
3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2020041689 | MO | Yes |
Addresses
Primary practice location
3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460
Mailing address
3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460
Other providers in Kansas City, MO
- Wendy Lynette Aven
- Nikol Averbuch
- Bernice Averill
- Lisa Marie Avery
- Monique Rochelle Avila
- Elizabeth Aviles
- Avira Home Care LLC
- Maria Jesus Avitia
- Ahmed M Awad
- Motaz Issam Mahmoud Awad
All providers in Kansas City, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.