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DESTEMONA BOZHANI
NPI 1801493275
Nurse Practitioner in Saint Joseph, MO

Active since October 07, 2020PECOS Enrolled
96.6/100
CMS Quality Rating
105 FAR WEST DR STE 201, SAINT JOSEPH, MO 64506(816) 271-8182 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2021, Oct 7, 2020 (2 updates tracked since 2020).

About Destemona Bozhani NPPES

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

DESTEMONA BOZHANI (NPI 1801493275) is an individual nurse practitioner in Saint Joseph, Missouri, licensed in Missouri (2020031429) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clarksdale.

NPPES Registry Identity

NPI1801493275
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDESTEMONA BOZHANI
Location Address105 FAR WEST DR STE 201Saint Joseph, MO 64506-3514
Mailing Address5804 Sw Bray RdClarksdale, MO 64430-9176 · (816) 262-2889
Phone(816) 271-8182
Sole ProprietorNo
Enumeration DateOctober 7, 2020
Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
✔ NPI 1801493275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MO · 2020031429✔ Licensed in KS · 140231
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2020031429 (MO)
105 FAR WEST DR STE 201, Saint Joseph, MO 64506
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Secondary Practice Location 1

Location 15804 SW Bray RdClarksdale, MO 64430-9176 · Phone (816) 262-2889

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destemona Bozhani is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Destemona Bozhani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care Express LLC
3.4 mi
Urgent Care
4776 VERONA DR
Saint Joseph, MO 64506
  • Reassigned Medicare billing, Missouri enrollment
  • 28 clinicians in this Medicare group
NPI 1407063209 (816) 396-9500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
120 services94 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.
45 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64506 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

IBRAHIM ABUALNADI M.D
Psychiatry & Neurology (Neurology)
105 FAR WEST DR STE 201
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-8182
HARATHI BANDARU MD, MS, FACG, FACP
Psychiatry & Neurology (Neurology)
105 FAR WEST DR STE 201
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-8182
MR. WILLIAM BERNARD BEACHUM III DNP, APRN, FNP-BC
Nurse Practitioner (Family)
105 FAR WEST DR STE 201
SAINT JOSEPH, MO 64506
Buchanan County (816) 271-8182

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 Destemona Bozhani's NPI number?

The NPI number for Destemona Bozhani is 1801493275. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Destemona Bozhani located?

Destemona Bozhani practices at 105 Far West Dr Ste 201, Saint Joseph, MO 64506. The listed phone number is (816) 271-8182.

What is Destemona Bozhani's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Destemona Bozhani enrolled in Medicare?

Yes. Destemona Bozhani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Destemona Bozhani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destemona Bozhani reassigns Medicare benefits to Urgent Care Express LLC (Saint Joseph, 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 Destemona Bozhani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destemona Bozhani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Destemona Bozhani 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.

When was this NPI record last updated?

The NPPES record for Destemona Bozhani was last updated on August 30, 2021. 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.