MS. NINA ESCOBAR PETERSEN LCSW
NPI 1093030389
Social Worker - Clinical in Lees Summit, MO

Q: What is Nina Escobar Petersen's NPI number?

The NPI number for Nina Escobar Petersen is 1093030389. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Nina Escobar Petersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since March 30, 2010PECOS Enrolled

1535 NE RICE RD, LEES SUMMIT, MO 64086(816) 966-0900(816) 347-3209 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2023, Sep 9, 2020, Mar 1, 2019 and 1 more (4 updates tracked since 2015).

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About Ms. Nina Escobar Petersen Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NINA ESCOBAR PETERSEN LCSW (NPI 1093030389) is an individual clinical provider in Lees Summit, Missouri, licensed in Missouri (2014008259) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1093030389

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. NINA ESCOBAR PETERSENCredential: LCSW

Location Address1535 NE RICE RDLees Summit, MO 64086-5849

Mailing Address1555 Ne Rice RdLees Summit, MO 64086-5849 · (816) 347-3069 · Fax (816) 347-3200

Phone(816) 966-0900

Fax(816) 347-3209

Sole ProprietorYes

Enumeration DateMarch 30, 2010

Last NPPES UpdateMay 11, 20234 updates tracked since enumeration

NPPES CertifiedMay 11, 2023

✔ NPI 1093030389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2014008259

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1535 NE RICE RD, Lees Summit, MO 64086

Open in Google Maps ↗

Secondary Practice Locations 4

Location 1400 W 4th StSedalia, MO 65301-4247 · Phone (660) 620-8251

Location 21806 W 11th St Ste BSedalia, MO 65301-5159 · Phone (660) 530-3086 · Fax (660) 530-3086

Location 3214 NE Chipman RdLees Summit, MO 64063 · Phone (660) 530-3086 · Fax (660) 530-3086

Location 4410C SE 3rd St Ste 108Lees Summit, MO 64063-2849 · Phone (660) 530-3086 · Fax (660) 530-3086

Other Identifiers 1

Other50560039MO · Blue Cross Blue Shield - Blue Kc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nina Escobar Petersen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Nina Escobar Petersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rediscover

0.8 mi

Mental Health (Including Community Mental Health Center)

901 NE INDEPENDENCE AVE
Lees Summit, MO 64086

Reassigned Medicare billing, Missouri enrollment
124 clinicians in this Medicare group

NPI 1841235298 (816) 246-8000

The Children's Mercy Hospital

15 mi

Pediatrics

2401 GILLHAM RD
Kansas City, MO 64108

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: The Childrens Mercy Hospital
603 clinicians in this Medicare group

NPI 1851437719 (816) 234-3000

Regional Health Care Clinic, Inc.

56 mi

Federally Qualified Health Center (FQHC)

401 W PETTIS ST
Green Ridge, MO 65332

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1457605131 (Missouri)
57 clinicians in this Medicare group

NPI 1417599556 (877) 733-5824

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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

$0.00 typical visit price

range $55.29 – $168.52

Typical copayment $0.00 (range $13.82 – $42.13)

Most-billed visit code NA

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

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 20

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

HANNAH LOREN BISGES MSW, LCSW

Social Worker (Clinical)