Individual provider Active NPI

Nicole Kenney, FNP-C

  • Family Nurse Practitioner
  • Springfield, MO
National Provider Identifier
1023564978
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016034602 Issued in MO
Practice address
2715 E Battlefield St
Springfield, MO 65804-3981
Phone
(417) 889-0056
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016034602 MO Primary
Registered Nurse 163W00000X 2008023403 MO

Addresses

Primary practice location

2715 E Battlefield St
Springfield, MO 65804-3981

Mailing address

PO Box 7411626
Chicago, IL 60674-5626
Phone (000) 000-0000

Other practice location 1

2115 S Fremont Ave
Ste 3300
Springfield, MO 65804-2239
Phone (417) 820-5200

Other practice location 2

3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (000) 000-0000

Other practice location 3

1000 E Hwy 60
Monett, MO 65708-8258
Phone (000) 000-0000

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidMO
PENDINGMedicaidAR

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
I20161006000994 MO Practitioner - Nurse Practitioner 6800184896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1001 E Primrose St
Springfield, MO 65807-5155

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008023403MOMDRegistered Nurse
2016034602MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Oct 28, 2019 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 26, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Aug 26, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

1153 E Elm St
Springfield, MO 65806
Phone (417) 831-0380

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

2715 E Battlefield Rd
Springfield, MO 65804
Phone (417) 888-0298

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 6

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 4

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1023564978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 E BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043981",
            "telephone_number": "417-889-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 S Fremont Ave",
            "address_2": "Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042239",
            "country_code": "US",
            "telephone_number": "417-820-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S National Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075272",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Hwy 60",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657088258",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016034602",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008023403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.