DR. ETHAN ANDREW HACKER MD
NPI 1124557301
Internal Medicine - Clinical Cardiac Electrophysiology in North Kansas City, MO

Q: What is Ethan Hacker's NPI number?

The NPI number for Ethan Hacker is 1124557301. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Q: What is Ethan Hacker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Hacker was last updated on August 22, 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.

Active since June 09, 2017PECOS EnrolledAccepts Medicare Assignment

2790 CLAY EDWARDS DR STE 520570, NORTH KANSAS CITY, MO 64116(816) 221-6750(816) 221-7280 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2020, Oct 15, 2019, Jun 9, 2017 (3 updates tracked since 2017).

On this page

About Dr. Ethan Andrew Hacker Md NPPES

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

DR. ETHAN ANDREW HACKER MD (NPI 1124557301) is an individual clinical cardiac electrophysiology provider in North Kansas City, Missouri, licensed in Missouri (2025032202) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with North Kansas City Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124557301

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameDR. ETHAN ANDREW HACKERCredential: MD

Location Address2790 CLAY EDWARDS DR STE 520570North Kansas City, MO 64116-3276

Mailing Address2800 Clay Edwards Drive, Medical Staff ServicesNorth Kansas City, MO 64116 · (816) 691-1655

Phone(816) 221-6750

Fax(816) 221-7280

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 9, 2017

Last NPPES UpdateAugust 22, 20253 updates tracked since enumeration

NPPES CertifiedAugust 18, 2025

✔ NPI 1124557301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in MO · 2025032202

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal MedicineTaxonomy 207R00000X · License 94-09160 (KS)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35503 (OK)

2790 CLAY EDWARDS DR STE 520570, North Kansas City, MO 64116

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13901 Rainbow Blvd # MS 2027Kansas City, KS 66160-8500 · Phone (913) 588-3974 · Fax (913) 588-6055

Location 2800 Stanton L Young BlvdOklahoma City, OK 73104-5018 · Phone (405) 271-4742

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company, UnitedHealthcare.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

Dr. Ethan Andrew Hacker Md 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 ID8729350376

PECOS Enrollment IDI20250826001765

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.

Hospital Affiliations CMS Care Compare

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

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260096

Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

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

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

JARED MICHAEL ROBL MD

Internal Medicine (Interventional Cardiology)

2790 CLAY EDWARDS DR STE 520570
NORTH KANSAS CITY, MO 64116

Clay County (816) 221-6750

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 Ethan Hacker's NPI number?

The NPI number for Ethan Hacker is 1124557301. It was assigned to this individual provider in the NPPES registry on June 9, 2017.

Where is Ethan Hacker located?

Ethan Hacker practices at 2790 Clay Edwards Dr Ste 520570, North Kansas City, MO 64116. The listed phone number is (816) 221-6750.

What is Ethan Hacker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Ethan Hacker enrolled in Medicare?

Yes. Ethan Hacker 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 Ethan Hacker accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Ethan Hacker 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 Ethan Hacker affiliated with any hospitals?

According to CMS data, Ethan Hacker is affiliated with North Kansas City Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Hacker was last updated on August 22, 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.