CORMAC PROSSER MD
NPI 1154019370
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Active since April 26, 2023PECOS Enrolled
3901 RAINBOW BLVD # MS 1045, KANSAS CITY, KS 66160(913) 588-1559 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cormac Prosser Md NPPES

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

CORMAC PROSSER MD (NPI 1154019370) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2023).

NPPES Registry Identity

NPI1154019370
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCORMAC PROSSERCredential: MD
Location Address3901 RAINBOW BLVD # MS 1045Kansas City, KS 66160-8500
Mailing Address3901 Rainbow Blvd # Ms 1045Kansas City, KS 66160-8500 · (913) 588-1559
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2023
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1154019370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3901 RAINBOW BLVD # MS 1045, Kansas City, KS 66160

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cormac Prosser Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800255365
PECOS Enrollment IDI20260828003463
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 Reassignment

Medicare enrollment records show Cormac Prosser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
19600 E 39TH ST S
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 182 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.

Hospital Affiliations CMS Care Compare

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

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.

Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160
Emergency Medicine
3901 RAINBOW BLVD # MS 1045
KANSAS CITY, KS 66160

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 Cormac Prosser's NPI number?

The NPI number for Cormac Prosser is 1154019370. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Cormac Prosser located?

Cormac Prosser practices at 3901 Rainbow Blvd # Ms 1045, Kansas City, KS 66160. The listed phone number is (913) 588-1559.

What is Cormac Prosser's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cormac Prosser enrolled in Medicare?

Yes. Cormac Prosser is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cormac Prosser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cormac Prosser reassigns Medicare benefits to Emergency Medicine Services Of Mo, LLC (Independence, MO). The 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 Cormac Prosser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cormac Prosser accept?

Health plans from Oscar Insurance Company list Cormac Prosser 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 Cormac Prosser affiliated with any hospitals?

According to CMS data, Cormac Prosser is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Cormac Prosser was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.