MINUTECLINIC DIAGNOSTIC OF KANSAS PA
NPI 1629005558
Nurse Practitioner - Family in Leawood, KS

Q: What is Minuteclinic Diagnostic Of Kansas PA's NPI number?

The NPI number for Minuteclinic Diagnostic Of Kansas PA is 1629005558. It was assigned to this organization in the NPPES registry on June 27, 2006.

Q: What is Minuteclinic Diagnostic Of Kansas PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 27, 2006

11729 ROE AVE, LEAWOOD, KS 66211(866) 389-2727(401) 406-3539 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2020, Feb 18, 2020 (2 updates tracked since 2020).

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About Minuteclinic Diagnostic Of Kansas Pa NPPES

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

MINUTECLINIC DIAGNOSTIC OF KANSAS PA (NPI 1629005558) is a healthcare organization registered as a family in Leawood, Kansas and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Independence and lists Deborah Pincince, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629005558

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMINUTECLINIC DIAGNOSTIC OF KANSAS PA

Location Address11729 ROE AVELeawood, KS 66211-2605

Mailing AddressPo Box 772, Minuteclinic CredentialingWoonsocket, RI 02895-0784 · (866) 389-2727 · Fax (401) 406-3539

Phone(866) 389-2727

Fax(401) 406-3539

Organization SubpartNo

Authorized OfficialDeborah PincinceAdministrator · (401) 770-3813

Enumeration DateJune 27, 2006

Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2024

✔ NPI 1629005558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

11729 ROE AVE, Leawood, KS 66211

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Secondary Practice Location 1

Location 13825 S Noland RdIndependence, MO 64055-3344 · Phone (866) 389-2727

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minuteclinic Diagnostic Of Kansas Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

266

Medicare enrollment records show 266 clinicians reassign Medicare billing to Minuteclinic Diagnostic Of Kansas PA, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 47 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner253

Clinical Social Worker6

Ophthalmology3

Marriage and Family Therapist2

Cardiovascular Disease (Cardiology)1

Mental Health Counselor1

Nearest to this location (20)

See all 266

Hannah Gatson

Nurse Practitioner

NPI 1558104042