MRS. MELANIE RENEE SHAW KOVARIK ARNP BC NPI 1821069980

NPI Information

NPI: 1821069980
Provider Name: MRS. MELANIE RENEE SHAW KOVARIK, ARNP, BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1400 E NORTH AVE
BELTON, MO
ZIP 64012
Phone: (866) 825-3227
Get Directions

MRS. Melanie Renee Shaw Kovarik, ARNP, BC is a family nurse practitioner in Belton, MO with 40 years of experience. MRS. Melanie Renee Shaw Kovarik, ARNP, BC NPI is 1821069980. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 E NORTH AVE
BELTON, MO
ZIP 64012-110
Phone: (866) 825-3227

The NPI 1821069980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 3/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	14-80040-071	KANSAS	No
2	163WG0000X	Registered Nurse	General Practice	096676	MISSOURI	No
3	363LF0000X	Nurse Practitioner	Family	45403	KANSAS	No
4	363LF0000X	Nurse Practitioner	Family	096676	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P96150	MEDICARE UPIN	MISSOURI
2	P53C618	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
3	201019551	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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