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DAGAN RANDAL EICHHOLZ MSN, PMHNP-BC
NPI 1750881173
Nurse Practitioner - Psychiatric/Mental Health in Lees Summit, MO

Active since February 13, 2018PECOS EnrolledAccepts Medicare Assignment
85.29/100
CMS Quality Rating
300 SE 2ND ST, LEES SUMMIT, MO 64063(816) 404-6191 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 23, 2020, Apr 23, 2019, Feb 13, 2018 (3 updates tracked since 2018).

About Dagan Randal Eichholz Msn, Pmhnp-bc NPPES

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

DAGAN RANDAL EICHHOLZ MSN, PMHNP-BC (NPI 1750881173) is an individual psychiatric/mental health provider in Lees Summit, Missouri, licensed in Missouri (2008003471) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with University Health Lakewood Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750881173
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAGAN RANDAL EICHHOLZCredential: MSN, PMHNP-BC
Location Address300 SE 2ND STLees Summit, MO 64063-2759
Mailing Address300 Se 2nd StLees Summit, MO 64063-2759 · (816) 404-6170
Phone(816) 404-6191
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 13, 2018
Last NPPES UpdateDecember 23, 20203 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
✔ NPI 1750881173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2008003471
300 SE 2ND ST, Lees Summit, MO 64063
Open in Google Maps ↗

Other Identifiers 1

Medicaid420051522MO

Accepted Insurance

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

Dagan Randal Eichholz Msn, Pmhnp-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 ID7214299775
PECOS Enrollment IDI20180321000067
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 2

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.
135 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services16 patients

Hospital Affiliations CMS Care Compare

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

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64063 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.

85.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.76
Promoting Interoperability100
Improvement Activities40
Cost46.54

Other Providers at the Same Location NPPES 13

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

DR. SUPAVAN K BROWN PH.D.
Psychologist (Counseling)
300 SE 2ND ST, SUITE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6189
TORI MATHEWS PA-C
Physician Assistant
300 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
DR. JACQUELINE DIANE NOONAN PSYD
Psychologist (Clinical)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
MATTHEW WILLIAM WRIGHT
Counselor (Professional)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
TAYLOR MAGRUDER
Counselor (Professional)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 404-6179
DEBORAH DENMAN WHITE EYE LCSW, LSCSW
Social Worker (Clinical)
300 SE 2ND ST, SUITE 100
LEES SUMMIT, MO 64063
Jackson County (816) 404-6170
KYLIE M CHAPMAN PLPC
Counselor (Professional)
300 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 404-6333
AASTHA GUPTA PSY.D.
Psychologist
300 SE 2ND ST
LEES SUMMIT, MO 64063
Jackson County (816) 404-6178

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 Dagan Eichholz's NPI number?

The NPI number for Dagan Eichholz is 1750881173. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Dagan Eichholz located?

Dagan Eichholz practices at 300 SE 2nd St, Lees Summit, MO 64063. The listed phone number is (816) 404-6191.

What is Dagan Eichholz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dagan Eichholz enrolled in Medicare?

Yes. Dagan Eichholz 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 Dagan Eichholz accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Dagan Eichholz 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 Dagan Eichholz affiliated with any hospitals?

According to CMS data, Dagan Eichholz is affiliated with University Health Lakewood Medical Center.

When was this NPI record last updated?

The NPPES record for Dagan Eichholz was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.