Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Syreeta Lynn Van Ross

Individual provider Family Nurse Practitioner · NPI 1063539823

Syreeta Lynn Van Ross is a Nurse Practitioner in Independence, Missouri. Qualified in 2015, 11 years ago. Practices with Oak Street Health Physicians Group of Missouri LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
11
Licensed in
KS, MO
In the registry since
2007
Specialties on file
4

Practice location Address checks out

16659 E 23rd St S
Independence, MO 64055-1922
Phone: (816) 631-1885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Carondelet Dr Ste 100, Kansas City, MO 64114-4673 — (816) 941-9030

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2015039584 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 2015039584 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 77550-072 (KS)
Contractor Taxonomy 171W00000X · Licence 200380880A (KS)

Record details

NPI number1063539823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 24, 2007
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Oak Street Health Physicians Group Of Missouri Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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