Individual provider Active NPI

Judith Khalamwa Nandwa, APRN

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1003186719
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
75490 Issued in KS
Practice address
3901 Rainbow Blvd, 6040 Delp, Ms 1020
Division of General and Geriatric Medicine, University
Kansas City, KS 66160-0001
Phone
(913) 588-6005
Fax
(913) 588-3877
NPI assigned
Jan 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2009037503 MO
Registered Nurse 163W00000X 100732 KS
Family Nurse Practitioner 363LF0000X 2012026433 MO
Family Nurse Practitioner 363LF0000X 75490 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd, 6040 Delp, Ms 1020
Division of General and Geriatric Medicine, University
Kansas City, KS 66160-0001

Mailing address

3901 Rainbow Blvd. 4070 Delp, Ms 4017
Kansas University Physicians, Inc.
Kansas City, KS 66160-0001
Phone (913) 588-2501

Other identifiers 2

IdentifierTypeStateIssuer
200869500AMedicaidKS
1003186719MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000311 KS Practitioner - Nurse Practitioner 0345404380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-6144

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
100732KSMDRegistered Nurse
2009037503MOMDRegistered Nurse
2012026433MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Annagrace Senior Living Current Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 19, 2017 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 19, 2017 Accepting new patients

Locations

3599 Rainbow Blvd
Kansas City, KS 66103
Phone (913) 588-1203

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

1000 E 101st Ter
Kansas City, MO 64131
Phone (816) 333-1326

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003186719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD. 4070 DELP, MS 4017",
            "address_2": "KANSAS UNIVERSITY PHYSICIANS, INC.",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-2501",
            "fax_number": "913-588-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD, 6040 DELP, MS 1020",
            "address_2": "DIVISION OF GENERAL AND GERIATRIC MEDICINE, UNIVERSITY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6005",
            "fax_number": "913-588-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDWA",
        "first_name": "JUDITH",
        "middle_name": "KHALAMWA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009037503",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "100732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012026433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200869500A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003186719",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.