Ambria J Petty, NP in Independence, MO - Medicare Nurse Practitioner

Ambria J Petty, NP is a medicare enrolled "Nurse Practitioner - Family" in Independence, Missouri. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifeworks Integrative Health Llc and her current practice location is 19001 E 48th St S, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 251-5100.

Ambria J Petty is licensed to practice in Kansas (license number 53-79703-032) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164008967.

Contact Information

	Ambria J Petty, NP
	19001 E 48th St S, Independence, MO 64055-6964
	(816) 251-5100
	(816) 795-0144

Map and Direction

Provider's Profile

Full Name	Ambria J Petty
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	19001 E 48th St S, Independence, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ambria J Petty graduated from nursing school in 2019

NPI Data:

NPI Number: 1164008967
Provider Enumeration Date: 03/22/2021
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6800204686
Enrollment ID: I20210415001222

Medical Identifiers

Medical identifiers for Ambria J Petty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164008967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	53-79703-032 (Kansas)	Primary
363LF0000X	Nurse Practitioner - Family	2020032346 (Missouri)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifeworks Integrative Health Llc	8224286703	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ambria J Petty allows following entities to bill medicare on her behalf.

Entity Name	Lifeworks Integrative Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710257928 PECOS PAC ID: 8224286703 Enrollment ID: O20120907000682

Entity Name	Advanced Urologic Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801389267 PECOS PAC ID: 7618133778 Enrollment ID: O20200409001825

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ambria J Petty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ambria J Petty, NP 22742 Midland Dr, Shawnee, KS 66226-3553 Ph: (913) 441-2293	Ambria J Petty, NP 19001 E 48th St S, Independence, MO 64055-6964 Ph: (816) 251-5100

Reviews and Comments

Nurse Practitioner Nurses in Independence, MO

Jacqueline K Hopkins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Osage St, Suite 200, Independence, MO 64050 Phone: 816-356-2000 Fax: 816-737-1796
Ms. Valerie Mae Monroy, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4731 S Cochise Dr, Suite 100, Independence, MO 64055 Phone: 816-373-1142 Fax: 816-373-9222
Kara Linn Perdue, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19045 E Valley View Pkwy Ste G, Independence, MO 64055 Phone: 816-398-7171
Tara M Lea, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19550 E 39th St S Ste 200, Independence, MO 64057 Phone: 816-833-0466 Fax: 816-833-4155
Mrs. Jill Elizabeth Wiese, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19600 E 39th St S, Attn: Nicu, Independence, MO 64057 Phone: 816-698-7340
Katelynn R Crawford, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17844 E 23rd St S, Independence, MO 64057 Phone: 816-254-3652
Paige Nicole Huffman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14310 E 42nd St S Ste 600, Independence, MO 64055 Phone: 816-333-9200

Ambria J Petty, NP - Medicare Nurse Practitioner in Independence, MO