COREY MICHAEL WHITESIDES P.A.-C
NPI 1689019614
Physician Assistant - Medical in Kansas City, MO

Active since May 03, 2013PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR, STE 600, KANSAS CITY, MO 64116(816) 561-3003(816) 889-1584 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corey Michael Whitesides P.a.-c NPPES

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

COREY MICHAEL WHITESIDES P.A.-C (NPI 1689019614) is an individual medical provider in Kansas City, Missouri, licensed in Missouri (2013013231) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689019614
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameCOREY MICHAEL WHITESIDESCredential: P.A.-C
Location Address2790 CLAY EDWARDS DR, STE 600Kansas City, MO 64116-3276
Mailing Address2790 Clay Edwards Dr, Ste 600Kansas City, MO 64116-3276 · (816) 561-3003 · Fax (816) 889-1584
Fax(816) 889-1584
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 3, 2013
NPI 1689019614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2013013231
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2013013231 (MO)
2790 CLAY EDWARDS DR, Kansas City, MO 64116

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

Corey Michael Whitesides P.a.-c 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 ID6800037813
PECOS Enrollment IDI20130801000827
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.

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone 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.

Registered Nurse (Critical Care Medicine)
2790 CLAY EDWARDS DR, SUITE 510
N KANSAS CITY, MO 64116
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Podiatrist
2790 CLAY EDWARDS DR, SUITE 570
N KANSAS CITY, MO 64116
Internal Medicine (Cardiovascular Disease)
2790 CLAY EDWARDS DR, SUITE 520
NORTH KANSAS CITY, MO 64116
Orthopaedic Surgery
2790 CLAY EDWARDS DR, SUITE #650
NORTH KANSAS CITY, MO 64116
Nurse Practitioner
2790 CLAY EDWARDS DR, STE 1230
NORTH KANSAS CITY, MO 64116
Nurse Practitioner (Family)
2790 CLAY EDWARDS DR, SUITE 410
NORTH KANSAS CITY, MO 64116
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116

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 Corey Whitesides's NPI number?

The NPI number for Corey Whitesides is 1689019614. It was assigned to this individual provider in the NPPES registry on May 3, 2013.

Where is Corey Whitesides located?

Corey Whitesides practices at 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116. The listed phone number is (816) 561-3003.

What is Corey Whitesides's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Corey Whitesides enrolled in Medicare?

Yes. Corey Whitesides 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.

Is Corey Whitesides affiliated with any hospitals?

According to CMS data, Corey Whitesides is affiliated with Boone Hospital Center.

When was this NPI record last updated?

The NPPES record for Corey Whitesides was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.