OrganizationActive
Icare Primary Care
NPI 1316344658 · Exclusive Provider Organization · Liberty, MO
Icare Primary Care is a Exclusive Provider Organization organization in Liberty, MO (NPI 1316344658).
Provider details
- NPI number
- 1316344658
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jennifer Petersen, Office Manager(816) 875-4325
- License
- 20110330076 (MO)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Rush Creek Pkwy
Suite B
Liberty, MO 64068-9608
Phone: (816) 875-4325
Fax: (816) 407-9809
Street-level locationGet directions
Mailing address
550 Rush Creek Pkwy
Liberty, MO 64068-9608
Other names (DBA / former)
- Other name
- Icare Addiction Clinic
Registry dates
- Enumerated
- 2014-12-02
- Last updated
- 2014-12-02
Frequently asked questions
- What is Icare Primary Care's NPI number?
- Icare Primary Care's National Provider Identifier (NPI) is 1316344658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Icare Primary Care?
- Icare Primary Care is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Icare Primary Care located?
- Icare Primary Care's practice location on file with NPPES is 550 Rush Creek Pkwy, Liberty, MO 64068-9608.
- What is Icare Primary Care's phone number?
- The practice phone number listed in the NPPES registry for Icare Primary Care is (816) 875-4325.
- Who is the authorized official for Icare Primary Care?
- The authorized official listed on Icare Primary Care's NPPES record is Jennifer Petersen, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Icare Primary Care's NPI active?
- Yes — Icare Primary Care's NPI (1316344658) is active in the NPPES registry as of the last update on 2014-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.