Individual provider

Serkalem Sisay, RN, ANP-BC

Adult Health Nurse Practitioner Medicare enrolled

Serkalem Sisay, RN, ANP-BC is an Adult Health Nurse Practitioner in Kansas City, MO, registered under NPI 1124397740.

Getting there

The practice address on file is 4330 WORNALL ROAD SUITE 2000, Kansas City, MO 64111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4330 WORNALL ROAD SUITE 2000, Kansas City, MO 64111 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2011035007 MO Adult Health Nurse Practitioner primary
53-75224-122 KS Adult Health Nurse Practitioner

Licences are recorded in 2 states: MO, KS. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
1658508858

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kansas and Missouri. The practice address on file is in Kansas City, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KS Kansas
Licence
53-75224-122
Specialty
Adult Health Nurse Practitioner
Verify with the KS board →
MO Missouri practice address
Licence
2011035007
Specialty
Adult Health Nurse Practitioner
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Adult Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LA2200X Adult Health Nurse Practitioner Adult Health 2011035007 MO primary
363LA2200X Adult Health Nurse Practitioner Adult Health 53-75224-122 KS

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124397740 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 28, 2011
Last updatedSep 17, 2013
StatusActive
Sole proprietorNo
CredentialRN, ANP-BC
Practice address 4330 WORNALL ROAD
SUITE 2000
Kansas City, MO 64111
(816) 931-1883
Fax (816) 756-3645
This record was last updated on Sep 17, 2013, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1124397740 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 3 9 7 7 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 6 9 5 7 8

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124397740?
NPI 1124397740 is the National Provider Identifier assigned to Serkalem Sisay, RN, ANP-BC in Kansas City, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adult Health cover?
Definition to come...
How do I contact Serkalem Sisay, RN, ANP-BC?
The phone number on file with NPPES is (816) 931-1883, last updated Sep 17, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Serkalem Sisay, RN, ANP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124397740 a valid number?
Yes. 1124397740 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.