Nichole D Van Duyne, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

2008026684 Issued in MO

Practice address

6420 Prospect Ave
Ste T-303
Kansas City, MO 64132-4147

Phone

(816) 333-1919

Fax

(816) 333-2614

NPI assigned

Jun 27, 2006

Last updated

Jan 13, 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 1

Addresses

Other names 1

• Nichole D Clark Former name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Kansas City University of Physicians and Surgeons, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Pulmonology Practice LLCGroup PAC ID 0042210502, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027
• Lee's Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
• Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Merit-based Incentive Payment System (MIPS)

Final score

84.85 of 100Reported as individual

Quality

86.94

Promoting interoperability

99

Improvement activities

40

Cost

41.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nichole.vanduyne@hca2.eclinicaldirectplus.com

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.

• Kansas City Pulmonology Practice, LLC

  • Pulmonary Disease Physician
  • Kansas City, MO
  • NPI 1134208150
  Medicare reassignment Care Compare group NPD
• Kansas City Pulmonary Clinic PA

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1295792224

  Pulmonary Disease

  NPD (past)
• RMC HBP, LLC

  dba dba: RMC Pulmonary Physicians

  • Pulmonary Disease Physician
  • Kansas City, MO
  • NPI 1508855602
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Care Compare affiliation
• Golden Valley Memorial Hospital District

  • General Acute Care Hospital
  • Clinton, MO
  • NPI 1710075361
  Care Compare affiliation
• Midwest Division - LSH, LLC

  dba Lee's Summit Medical Center

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - RBH, LLC

  dba Belton Regional Medical Center

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763
  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1992732556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "STE T-303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-333-1919",
            "fax_number": "816-333-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVE",
            "address_2": "STE T-303",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324147",
            "telephone_number": "816-333-1919",
            "fax_number": "816-333-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DUYNE",
        "first_name": "NICHOLE",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2008026684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICHOLE.VANDUYNE@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6420 Prospect Ave",
            "address_2": "STE T-303",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641324147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "CLARK",
            "middle_name": "D",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Thomas Van Buren
• Kurt Keegan Van Camp, RN
• Andrea Marie Van Cleave
• Ruth Van Dam, LPC
• Kimberly Sue Van Dorn-Robinson, LMSW
• Abigail Van Hercke
• Laura Van Holland
• Aaron Van Hooser
• Justin Van Meeteren, DO
• Noelle Petit Van Meter, B.S., D.C.

• Pulmonary Disease Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pulmonary Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.