SYREETA LYNN VAN ROSS
NPI 1063539823
Nurse Practitioner - Family in Independence, MO

Active since March 24, 2007PECOS EnrolledAccepts Medicare Assignment
16659 E 23RD ST S, INDEPENDENCE, MO 64055(816) 631-1885 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 10, 2025, Feb 16, 2022, Dec 7, 2021 and 1 more (4 updates tracked since 2017).

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

NPI1063539823
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSYREETA LYNN VAN ROSS
Location Address16659 E 23RD ST SIndependence, MO 64055-1922
Mailing AddressPo Box 740019Atlanta, GA 30374-0019 · (773) 644-3941
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2007
Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1063539823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2015039584
Also ListedContractorTaxonomy 171W00000X · License 200380880A (KS)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2015039584 (MO), 77550-072 (KS)
16659 E 23RD ST S, Independence, MO 64055

Other Names 1

Former Name (1)Syreeta Lynn Dickerson

Secondary Practice Location 1

Location 11000 Carondelet Dr Ste 100Kansas City, MO 64114-4673 · Phone (816) 941-9030 · Fax (816) 941-4416

Other Identifiers 1

Medicaid200380880AKS

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9436457546
PECOS Enrollment IDI20160405002558
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
19 services15 patients

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, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
16659 E 23RD ST S
INDEPENDENCE, MO 64055
Nurse Practitioner (Family)
16659 E 23RD ST S
INDEPENDENCE, MO 64055
Nurse Practitioner (Family)
16659 E 23RD ST S
INDEPENDENCE, MO 64055

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.

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 with the weekly NPPES data releases published by CMS.