Syreeta Lynn Van Ross, in Independence, MO - Medicare Nurse Practitioner

Syreeta Lynn Van Ross, is a medicare enrolled "Nurse Practitioner - Family" in Independence, Missouri. Her current practice location is 16659 E 23rd St S, Independence, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 631-1885.

Syreeta Lynn Van Ross is licensed to practice in Missouri (license number 2015039584) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063539823.

Contact Information

	Syreeta Lynn Van Ross,
	16659 E 23rd St S, Independence, MO 64055-1922
	(816) 631-1885
	Not Available

Map and Direction

Provider's Profile

Full Name	Syreeta Lynn Van Ross
Gender	Female
Speciality	Nurse Practitioner - Family
Location	16659 E 23rd St S, Independence, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063539823
Provider Enumeration Date: 03/24/2007
Last Update Date: 11/10/2025

Medicare PECOS Information:

PECOS PAC ID: 9436457546
Enrollment ID: I20160405002558

Medical Identifiers

Medical identifiers for Syreeta Lynn Van Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063539823	NPI	-	NPPES
200380880A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2015039584 (Missouri)	Primary
363LP2300X	Nurse Practitioner - Primary Care	2015039584 (Missouri)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	77550-072 (Kansas)	Secondary
171W00000X	Contractor	200380880A (Kansas)	Secondary

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. Syreeta Lynn Van Ross allows following entities to bill medicare on her behalf.

Entity Name	Inpatient Consultants Of Kansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861795635 PECOS PAC ID: 9335329556 Enrollment ID: O20110204000829

Entity Name	Prime Healthcare Kansas City - Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427449487 PECOS PAC ID: 7315267325 Enrollment ID: O20150514001835

Entity Name	Advanced Rehabilitation Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285942722 PECOS PAC ID: 8628253259 Enrollment ID: O20190821004664

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. Syreeta Lynn Van Ross 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
Syreeta Lynn Van Ross, Po Box 740019, Atlanta, GA 30374-0019 Ph: (773) 644-3941	Syreeta Lynn Van Ross, 16659 E 23rd St S, Independence, MO 64055-1922 Ph: (816) 631-1885

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: Accepting Medicare Assignments 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

Syreeta Lynn Van Ross, - Medicare Nurse Practitioner in Independence, MO