Healthcare Provider Details

I. General information

NPI: 1205482775
Provider Name (Legal Business Name): MICHAELLA SCHARTZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7850 FREEMAN AVE
KANSAS CITY KS
66112-2133
US

IV. Provider business mailing address

1500 W FOXWOOD DR STE B
RAYMORE MO
64083-9372
US

V. Phone/Fax

Practice location:
  • Phone: 913-334-3666
  • Fax:
Mailing address:
  • Phone: 816-651-8538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019040280
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-81827-091
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: