Active NPI
Richard Wangungu, NP-C
- Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2018035927
- Practice address
- 2316 E Meyer Blvd
Kansas City, MO 64132-1136 - Phone
- (816) 276-4000
- NPI assigned
- Nov 10, 2018
- Last updated
- May 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2018035927 | MO | Primary |
| Nurse Practitioner | 363L00000X | 78397 | KS |
Addresses
Primary practice location
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Mailing address
2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 276-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 W Foxwood Dr
Brookdale Foxwood Springs
Raymore, MO 64083-9347
Phone (816) 331-3111
400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276
4400 W 115TH St
Town Village Leawood
Leawood, KS 66211-2684
Phone (913) 491-3681
9100 Park St
Suite 280
Lenexa, KS 66215-3353
Phone (337) 991-9276
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78397 | KS | MD | Nurse Practitioner |
| 2018035927 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services Mo LLC | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| CH Specialty Services KS LLC | Current | Accepting new patients |
Locations
12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808
4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886
9100 Park St
Ste 280
Lenexa, KS 66215
4700 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 890-8400
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lee's Summit, MO
- NPI 1194422253
-
dba Elite Patient Care
- Family Medicine Physician
- Lee's Summit, MO
- NPI 1306165337
KS
-
- Internal Medicine Physician
- Lenexa, KS
- NPI 1770282188
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Overland Park, KS
- NPI 1235460361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1033687785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2316 E MEYER BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321136",
"telephone_number": "816-276-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 E MEYER BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641321136",
"telephone_number": "816-276-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGUNGU",
"first_name": "RICHARD",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-10",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2018035927",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "78397",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.