Tracy Giese
Nurse Practitioner • Independence, MO
19550 E 39th St S, Suite 245
Independence, MO 640572358
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on November 20, 2015; this date does not establish years in practice.
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Published CMS data list 604 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 290 service units.
- 83036 — Hemoglobin a1c level: 146 service units.
- 95251 — Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report: 111 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,718 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ozempic (Semaglutide) — 243 prescription fills, including refills.
- Levothyroxine Sodium — 166 prescription fills, including refills.
- Mounjaro (Tirzepatide) — 143 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 36 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Independence, MO (2024, 17 clinicians with data). Median for this group: 294. Middle half: 117 to 604.
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 494 in 2020 to 604 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
19550 E 39th St S
Suite 245
Independence, MO 640572358
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2014
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
191 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $39,273 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $29,836 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
3,810 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,052,760 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $723.58 across 24 records.
By nature of payment
- Food and Beverage: $681.08 across 23 records.
- Education: $42.50 across 1 record.
Reporting-company totals (3 largest of 9)
- Dexcom, Inc.: $182.20 across 4 records.
- Mannkind Corporation: $149.72 across 8 records.
- Novo Nordisk Inc: $138.71 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Tracy Giese as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Independence and Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Independence, MO (2024, 17 clinicians with data). Median for this group: 294. Middle half: 117 to 604.
More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Independence, MO (2024, 17 clinicians with data). Median for this group: $22,981. Middle half: $13,791 to $39,273.
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $17,615. Middle half: $6,020 to $35,542.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Independence, MO (2024, 17 clinicians with data). Median for this group: $16,841. Middle half: $11,036 to $29,836.
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $12,817. Middle half: $4,412 to $26,824.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Nurse Practitioner in Independence, MO (2024, 15 clinicians with data). Median for this group: 421. Middle half: 332 to 1,199.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: 303. Middle half: 86 to 1,191.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Independence, MO (2024, 15 clinicians with data). Median for this group: $40,945. Middle half: $8,351 to $283,351.
A higher Part D drug cost than 95% of clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: $13,920. Middle half: $1,057 to $134,310.
22 active clinicians are listed under Nurse Practitioner with a practice address in Independence, MO (1,721 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Independence
4.5% of these 22 clinicians have the CMS telehealth indicator.
68.2% of these 22 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 22% from 494 in 2020 to 604 in 2024.
- 2020: 494
- 2021: 523
- 2022: 525
- 2023: 414
- 2024: 604
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Medicare-allowed amount
Medicare-allowed amount increased 32% from $29,738 in 2020 to $39,273 in 2024.
- 2020: $29,738
- 2021: $40,896
- 2022: $43,630
- 2023: $32,039
- 2024: $39,273
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Paid by Medicare
Paid by Medicare increased 41% from $21,137 in 2020 to $29,836 in 2024.
- 2020: $21,137
- 2021: $29,724
- 2022: $30,992
- 2023: $22,985
- 2024: $29,836
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 35% from 1,268 in 2020 to 1,718 in 2024.
- 2020: 1,268
- 2021: 1,552
- 2022: 1,696
- 2023: 1,944
- 2024: 1,718
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30-day fills
30-day fills increased 30% from 2,926 in 2020 to 3,810 in 2024.
- 2020: 2,926
- 2021: 3,705
- 2022: 4,269
- 2023: 4,936
- 2024: 3,810
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Part D drug cost
Part D drug cost increased 51% from $695,144 in 2020 to $1,052,760 in 2024.
- 2020: $695,144
- 2021: $1,088,176
- 2022: $1,198,634
- 2023: $1,451,738
- 2024: $1,052,760
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 29% from $1,018.36 in 2021 to $723.58 in 2025.
- 2021: $1,018.36
- 2022: $1,677.06
- 2023: $1,569.21
- 2024: $986.24
- 2025: $723.58
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 24 records totaling $723.58.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $125.57 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $116.20 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $65.79 |
| CeQur Corporation |
Food and Beverage
Cash or cash equivalent
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CeQur Simplicity | General | $51.63 |
| Mannkind Corporation |
Education
In-kind items and services
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AFREZZA | General | $42.50 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $28.70 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $28.54 |
| Tandem Diabetes Care, Inc. |
Food and Beverage
In-kind items and services
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t:slim X2 Insulin Pump with Control-IQ | General | $24.96 |
| Corcept Therapeutics |
Food and Beverage
In-kind items and services
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Korlym | General | $24.81 |
| Insulet Corporation |
Food and Beverage
Cash or cash equivalent
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Omnipod | General | $23.76 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $23.66 |
| Tandem Diabetes Care, Inc. |
Food and Beverage
In-kind items and services
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t:slim X2 Insulin Pump with Control-IQ | General | $23.27 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $23.02 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $22.51 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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FREESTYLE LIBRE 3 | General | $21.33 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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MINIMED 780G | General | $17.61 |
| Tandem Diabetes Care, Inc. |
Food and Beverage
In-kind items and services
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t:slim X2 Insulin Pump with Control-IQ | General | $13.22 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $8.48 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $8.36 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $7.46 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $6.59 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $5.44 |
| Mannkind Corporation |
Food and Beverage
In-kind items and services
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AFREZZA | General | $5.10 |
| Dexcom, Inc. |
Food and Beverage
In-kind items and services
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Dexcom G6 Transmitter | General | $5.07 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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290 | 142 | $345.21 | $105.00 |
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83036
Hemoglobin a1c level
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146 | 76 | $44.01 | $9.26 |
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95251
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
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111 | 54 | $85.02 | $29.91 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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57 | 48 | $183.98 | $72.82 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ozempic | Semaglutide | 243 | 10,105 | $321,173.84 | 64 |
| Levothyroxine Sodium | Levothyroxine Sodium | 166 | 13,877 | $2,033.08 | 65 |
| Mounjaro | Tirzepatide | 143 | 5,964 | $212,341.33 | 42 |
| Metformin Hcl Er | Metformin Hcl | 125 | 10,430 | $1,859.69 | 56 |
| Jardiance | Empagliflozin | 95 | 5,080 | $98,955.78 | 24 |
| Lantus Solostar | Insulin Glargine,hum.Rec.Anlog | 84 | 6,464 | $11,131.12 | 40 |
| Nano 2nd Gen Pen Needle | Pen Needle, Diabetic | 71 | 6,098 | $11,354.98 | 41 |
| Metformin Hcl | Metformin Hcl | 67 | 5,254 | $807.29 | 25 |
| Farxiga | Dapagliflozin Propanediol | 54 | 4,200 | $73,937.71 | 19 |
| Hydrocortisone | Hydrocortisone | 47 | 2,377 | $1,792.15 | 14 |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 47 | 3,169 | $20,468.15 | 17 |
| Toujeo Solostar | Insulin Glargine,hum.Rec.Anlog | 42 | 3,443 | $53,143.22 | 13 |
| Atorvastatin Calcium | Atorvastatin Calcium | 41 | 3,690 | $477.50 | 19 |
| Humalog Kwikpen U-100 | Insulin Lispro | 41 | 2,883 | $14,480.93 | 21 |
| Fiasp Flextouch | Insulin Aspart (Niacinamide) | 41 | 1,767 | $49,733.18 | 14 |
| Novolog Flexpen | Insulin Aspart | 37 | 2,572 | $12,014.52 | 22 |
| Omnipod 5 Dexg7g6 Pods (Gen 5) | Insulin Pump Cart,auto,bt,g6/7 | 34 | 1,620 | $40,363.72 | 11 |
| Amlodipine Besylate | Amlodipine Besylate | 31 | 2,068 | $118.47 | — |
| Trulicity | Dulaglutide | 27 | 1,204 | $39,888.13 | — |
| Tresiba Flextouch U-200 | Insulin Degludec | 27 | 1,959 | $25,772.85 | 12 |
| Gabapentin | Gabapentin | 24 | 2,078 | $748.80 | 11 |
| Levemir Flexpen | Insulin Detemir | 23 | 1,496 | $5,072.07 | 12 |
| Tresiba Flextouch U-100 | Insulin Degludec | 22 | 2,006 | $14,509.80 | 12 |
| Gvoke Hypopen 2-Pack | Glucagon | 19 | 162 | $11,701.71 | 17 |
| Lisinopril | Lisinopril | 17 | 1,540 | $143.81 | 11 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Internal Medicine - Geriatric Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History
NPI enumerated November 20, 2015.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Independence
- Christina Lai, APRN, FNP-C
- Bryan Kaplan, APRN-FNP
- Vadsana Smith, APRN
- Brian Thompson, NP
- Rachel Koehler, APRN
- Amanda Lockhart, APRN
Mailing Address
19550 E 39th St S, Suite 245
Independence, MO 640572358
Phone: 8163730655