Individual provider Active NPI

Kimberly Foley Nagel, ARNP

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1003852187
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
145634 Issued in MO
Practice address
5701 W 119TH St
Suite 345
Overland Park, KS 66209
Phone
(913) 339-9046
Fax
(913) 339-9018
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 145634 MO Primary

Addresses

Primary practice location

5701 W 119TH St
Suite 345
Overland Park, KS 66209

Mailing address

5701 W 119TH St
Suite 345
Overland Park, KS 66209
Phone (913) 339-9046

Other identifiers 1

IdentifierTypeStateIssuer
1003852187MedicaidMO

Other names 1

  • Kimberly Foley Foley Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000557 MO Practitioner - Nurse Practitioner 8820127327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of Kansas City LLCGroup PAC ID 8921091455, 11 clinicians

Practice addresses (Care Compare)

600 NW Murray Rd
Suite 210
Lees Summit, MO 64081-1245
Phone (816) 525-9476

6675 Holmes Rd
Suite 550
Kansas City, MO 64131-1167
Phone (816) 363-7710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145634MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Group of Kansas City, LLC Internal Medicine CurrentSince Mar 17, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5701 W 119th St
Ste 115
Overland Park, KS 66209
Phone (816) 363-7710

5701 W 119th St
Ste 345
Overland Park, KS 66209
Phone (913) 340-7633

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

6675 Holmes Rd
Ste 550
Kansas City, MO 64131
Phone (816) 363-7710

600 NW Murray Rd
Ste 210
Lees Summit, MO 64081
Phone (816) 524-2626

Interoperability endpoints

  • Direct secure messaging: kim.nagel@hca2.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1003852187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 345",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-339-9046",
            "fax_number": "913-339-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "SUITE 345",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-339-9046",
            "fax_number": "913-339-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "KIMBERLY",
        "middle_name": "FOLEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "145634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003852187",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FOLEY",
            "middle_name": "FOLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.