SYREETA LYNN VAN ROSS – Family Nurse Practitioner, NPI 1063539823

SYREETA LYNN VAN ROSS is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2015039584 (MO). The NPI Number for SYREETA LYNN VAN ROSS is 1063539823

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
SYREETA LYNN VAN ROSS
NPI
1063539823
Phone
(816) 361-4306
Address
7543 WABASH AVE
Enumeration Date
24 March 2007
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166886000
Graduation Year
2015 (11 years ago)
PAC ID
9436457546
Group Practice PAC ID
7315340213
Professional Enrollment ID
I20160405002558
Address ID
MO640551922IN16659SXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness85
Years active:19State licenses:3Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for SYREETA LYNN VAN ROSS

  • 7543 WABASH AVE

    KANSAS CITY, MO 641322139

    Phone: (816) 361-4306

    Type: Mailing

  • 104 CARONDOLET DRIVE

    SUITE 300A

    KANSAS CITY, MO 64114

    Phone: (816) 941-9030

    Type: Location

  • 1000 Carondelet Dr Ste 100

    Kansas City, MO 641144673

    Phone: (816) 941-9030

    Fax: (816) 941-4416

    Type: Location

  • PO BOX 740019

    ATLANTA, GA 303740019

    Phone: (773) 644-3941

    Type: Mailing

  • 16659 E 23RD ST S

    INDEPENDENCE, MO 640551922

    Phone: (816) 631-1885

    Type: Location

  • 1000 CARONDELET DR STE 100

    KANSAS CITY, MO 641144673

    Phone: (816) 941-9030

    Fax: (816) 941-4416

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 102 Open Payments records for all available years, with a total value of $1,738.

Total Amount is formed as General ($1,738) + Research ($0) + Ownership ($0) = $1,738.

Last reported payment date: 2024-07-19 • Largest payer in this snapshot: ABBVIE INC. ($351).

Total Amount

$1,738

General + Research + Ownership

Payments

102

Total payment records

General Amount

$1,738

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160405002558INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14195$0
99213Established patient office or other outpatient visit, 20-29 minutes4035$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected1818$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1818$0
81003Automated urinalysis test1616$0
View full utilization report →

Insurance plans in this area (ZIP 64132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315340213View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerGA
Nurse PractitionerMO
Nurse PractitionerGA
Nurse PractitionerMO
Nurse PractitionerMO
Emergency Medicine, Family Practice, Preventive MedicineGA
Nurse PractitionerKS
Internal MedicineIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for SYREETA LYNN VAN ROSS?
SYREETA LYNN VAN ROSS — NPI 1063539823 — is the standard way to identify this listing.
Is SYREETA LYNN VAN ROSS listed as active for patients and plans?
The listing shows SYREETA LYNN VAN ROSS as active in the NPI system.
What is SYREETA LYNN VAN ROSS's primary classification?
Family Nurse Practitioner is the headline specialty for SYREETA LYNN VAN ROSS here. Clinical services aligned with this taxonomy classification.
Where should I expect SYREETA LYNN VAN ROSS on a map?
Expect Kansas City, Missouri as a primary anchor for SYREETA LYNN VAN ROSS unless the record lists multiple sites.
Is the information about SYREETA LYNN VAN ROSS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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