SYREETA LYNN VAN ROSS
NPI 1063539823
Nurse Practitioner - Family in Independence, MO
About Syreeta Lynn Van Ross NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SYREETA LYNN VAN ROSS (NPI 1063539823) is an individual family provider in Independence, Missouri, licensed in Missouri (2015039584) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Centerpoint Medical Center, and maintains a secondary practice location in Kansas City.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Syreeta Lynn Van Ross is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Syreeta Van Ross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kansas City, MO 64114
- Reassigned Medicare billing, Missouri enrollment
- 180 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 44 clinicians in this Medicare group
Saint Louis, MO 63115
- Reassigned Medicare billing, Missouri enrollment
- 33 clinicians in this Medicare group
Chicago, IL 60608
- Reassigned Medicare billing, Missouri enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Centerpoint Medical Center
Acute Care Hospitals · Independence, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Syreeta Van Ross's NPI number?
The NPI number for Syreeta Van Ross is 1063539823. It was assigned to this individual provider in the NPPES registry on March 24, 2007. The provider is also known as Syreeta Lynn Dickerson.
Where is Syreeta Van Ross located?
Syreeta Van Ross practices at 16659 E 23rd St S, Independence, MO 64055. The listed phone number is (816) 631-1885.
What is Syreeta Van Ross's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Syreeta Van Ross enrolled in Medicare?
Yes. Syreeta Van Ross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Syreeta Van Ross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Syreeta Van Ross reassigns Medicare benefits to 4 organizations: Prime Healthcare Kansas City - Physician Services LLC (Kansas City, MO), Inpatient Consultants Of Kansas PA (Saint Louis, MO), Oak Street Health Physicians Group Of Missouri, LLC (Saint Louis, MO) and Advanced Rehabilitation Care, LLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Syreeta Van Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Syreeta Van Ross accept?
Health plans from Blue Cross and Blue Shield of Kansas City and UnitedHealthcare list Syreeta Van Ross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Syreeta Van Ross affiliated with any hospitals?
According to CMS data, Syreeta Van Ross is affiliated with Centerpoint Medical Center.
When was this NPI record last updated?
The NPPES record for Syreeta Van Ross was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Syreeta Lynn Van Ross · NPI 1063539823
Family physician in Independence, Missouri. Individual provider, active in the CMS NPPES registry since March 24, 2007.
## Identity
- **NPI:** 1063539823 (Entity type: Individual)
- **Enumerated:** March 24, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2015039584 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16659 E 23RD ST S, Independence, MO 64055-1922
- **Phone:** (816) 631-1885
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Prime Healthcare Kansas City - Physician Services LLC (NPI 1427449487, Kansas City, MO); Inpatient Consultants Of Kansas PA (NPI 1861795635, Saint Louis, MO); Oak Street Health Physicians Group Of Missouri, LLC (NPI 1669041760, Saint Louis, MO); Advanced Rehabilitation Care, LLC (NPI 1285942722, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 10, 2025
- **Other identifiers:** Medicaid 200380880A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1063539823) · Data from the CMS NPPES public registry.