SERKALEM GETAHUN SISAY RN, ANP-BC
NPI 1124397740
Nurse Practitioner - Adult Health in Kansas City, MO

Q: What is Serkalem Sisay's NPI number?

The NPI number for Serkalem Sisay is 1124397740. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Q: What is Serkalem Sisay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Serkalem Sisay was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since December 28, 2011PECOS EnrolledAccepts Medicare Assignment

77.28/100

CMS Quality Rating

4330 WORNALL ROAD, SUITE 2000, KANSAS CITY, MO 64111(816) 931-1883(816) 756-3645 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Serkalem Getahun Sisay Rn, Anp-bc NPPES

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

SERKALEM GETAHUN SISAY RN, ANP-BC (NPI 1124397740) is an individual adult health provider in Kansas City, Missouri, licensed in Missouri (2011035007) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2010).

NPPES Registry Identity

NPI1124397740

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSERKALEM GETAHUN SISAYCredential: RN, ANP-BC

Location Address4330 WORNALL ROAD, SUITE 2000Kansas City, MO 64111-5939

Mailing Address4330 Wornall Road, Suite 2000Kansas City, MO 64111-5939 · (816) 931-1883 · Fax (816) 756-3645

Phone(816) 931-1883

Fax(816) 756-3645

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2010

Enumeration DateDecember 28, 2011

Last NPPES UpdateSeptember 17, 2013

✔ NPI 1124397740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in MO · 2011035007✔ Licensed in KS · 53-75224-122

4330 WORNALL ROAD, Kansas City, MO 64111

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Accepted Insurance

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

Serkalem Getahun Sisay Rn, Anp-bc 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 ID1658508858

PECOS Enrollment IDI20131213001613, I20131219000938

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

106 services103 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

68 services61 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260216

Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.71

Promoting Interoperability

100

Improvement Activities

Cost

50.58

Other Providers at the Same Location NPPES

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

MELISSA MURPHY

Nurse Practitioner

4330 WORNALL ROAD, SUITE 2000
KANSAS CITY, MO 64111

Jackson County (816) 931-1883

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 Serkalem Sisay's NPI number?

The NPI number for Serkalem Sisay is 1124397740. It was assigned to this individual provider in the NPPES registry on December 28, 2011.

Where is Serkalem Sisay located?

Serkalem Sisay practices at 4330 Wornall Road Suite 2000, Kansas City, MO 64111. The listed phone number is (816) 931-1883.

What is Serkalem Sisay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Serkalem Sisay enrolled in Medicare?

Yes. Serkalem Sisay 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 Serkalem Sisay accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica and UnitedHealthcare list Serkalem Sisay 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 Serkalem Sisay affiliated with any hospitals?

According to CMS data, Serkalem Sisay is affiliated with St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Serkalem Sisay was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.