DONNA O'REILLY APRN
NPI 1992984868
Nurse Practitioner - Women's Health in Kansas City, MO


Quality Rating: 77.28 out of 100 score

NPI Status: Active since October 29, 2007

Contact Information

4321 WASHINGTON ST
SUITE 1000
KANSAS CITY, MO
ZIP 64111
Phone: (816) 932-4549
Fax: (816) 932-9865

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  • Individual
  • Female
  • Nurse Practitioner
  • Women's Health
  • Accepts Insurance

About DONNA O'REILLY

This page provides the complete NPI Profile along with additional information for Donna O'reilly, a provider established in Kansas City, Missouri with a medical specialization in Nurse Practitioner, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1992984868 assigned on October 2007. The practitioner's primary taxonomy code is 363LW0102X with license number 069879 (MO). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1992984868
Provider Name
DONNA O'REILLY APRN
Gender
Female
Entity Type
Individual
Location Address
4321 WASHINGTON ST SUITE 1000 KANSAS CITY, MO 64111
Location Phone
(816) 932-4549
Location Fax
(816) 932-9865
Mailing Address
901 E 104TH ST MAILSTOP 400 KANSAS CITY, MO 64131
Mailing Phone
(816) 502-8755
Mailing Fax
(816) 932-9865
Is Sole Proprietor?
No
Enumeration Date
10-29-2007
Last Update Date
11-20-2017
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A nurse practitioner (NP) like Donna O'reilly is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Women's Health

Taxonomy Code
363LW0102X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
069879
License State
MO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P24053MEDICARE UPIN (02)MO 
L76A896MEDICARE PIN (08)MO 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 123 times for 83 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.28, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.28 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 73.71

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 50.58

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 50.58

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for DONNA O'REILLY APRN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992984868, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 8 + 8 + 8 + 8 + 1 + 2 + 24 = 82

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 82 is 90. The difference is the calculated check digit.

90 - 82 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1992984868.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
4321 WASHINGTON ST, STE. 2100
KANSAS CITY, MO 64111
Internal Medicine (Pulmonary Disease)
4321 WASHINGTON ST, SUITE 6000
KANSAS CITY, MO 64111
Internal Medicine (Pulmonary Disease)
4321 WASHINGTON ST, SUITE 6000
KANSAS CITY, MO 64111
Radiology (Diagnostic Radiology)
4321 WASHINGTON ST, STE 1400
KANSAS CITY, MO 64111
Radiology (Diagnostic Radiology)
4321 WASHINGTON ST, STE 1400
KANSAS CITY, MO 64111
Internal Medicine (Pulmonary Disease)
4321 WASHINGTON ST, SUITE 6000, MEDICAL PLAZA III,
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Physician Assistant
4321 WASHINGTON ST, SUITE 5300
KANSAS CITY, MO 64111
Surgery (Surgical Oncology)
4321 WASHINGTON ST, SUITE 4000
KANSAS CITY, MO 64111
Radiology (Vascular & Interventional Radiology)
4321 WASHINGTON ST, STE 1400
KANSAS CITY, MO 64111
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4321 WASHINGTON ST, SUITE 6100
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Internal Medicine
4321 WASHINGTON ST, SUITE 3000
KANSAS CITY, MO 64111
Prosthetic/Orthotic Supplier
4321 WASHINGTON ST, SUITE 4000
KANSAS CITY, MO 64111
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4321 WASHINGTON ST, SUITE 6100
KANSAS CITY, MO 64111
Clinic/Center (Ambulatory Surgical)
4321 WASHINGTON ST, SUITE 5700
KANSAS CITY, MO 64111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992984868, enumerated as an "individual" on October 29, 2007.

The provider is located at 4321 WASHINGTON ST SUITE 1000 KANSAS CITY, MO 64111 and the phone number is (816) 932-4549.

Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.