Individual provider Active NPI

Jennifer Lynne McCarty

  • Family Nurse Practitioner
  • Roeland Park, KS
National Provider Identifier
1053274167
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-85229-012 Issued in KS
Practice address
5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538
Phone
(913) 432-2080
NPI assigned
Dec 5, 2025
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-85229-012 KS Primary

Addresses

Primary practice location

5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538

Mailing address

5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538

Other practice location 1

10950 W 86th St
Lenexa, KS 66214-1634
Phone (913) 722-4240

Other practice location 2

9300 Meadow View Dr
Shawnee, KS 66227-7288
Phone (913) 601-4500

Other practice location 3

2040 Hutton Rd Ste 102
Kansas City, KS 66109-4566
Phone (913) 299-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20260305004169 KS Practitioner - Nurse Practitioner 5698257889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5675 Roe Blvd
Suite 100
Roeland Park, KS 66205-2515

PO Box
Suite 111
Moultrie, GA 31776-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-85229-012KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Medical Group, PA Family Medicine CurrentSince Feb 4, 2026 Accepting new patients
Sunflower Medical Group PA Family Medicine CurrentSince Feb 4, 2026 Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

10950 W 86th St
Overland Park, KS 66214
Phone (913) 722-4240

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

9300 Meadow View Dr
Shawnee, KS 66227
Phone (913) 299-3700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1053274167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10950 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141634",
            "country_code": "US",
            "telephone_number": "913-722-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Meadow View Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662277288",
            "country_code": "US",
            "telephone_number": "913-601-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Hutton Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661094566",
            "country_code": "US",
            "telephone_number": "913-299-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85229-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

Verify at the official NPI Registry.