Individual provider Active NPI

Lori Lynn Walters, ACNPC-AG

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1073219457
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
82024 Issued in KS
Practice address
9100 W 74TH St
Overland Park, KS 66204-4004
Phone
(913) 676-2000
NPI assigned
Feb 6, 2023
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2023048917 MO
Nurse Practitioner 363L00000X 82024 KS Primary

Addresses

Primary practice location

9100 W 74TH St
Overland Park, KS 66204-4004

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

2200 E Cleveland St
Monett, MO 65708-6149
Phone (000) 000-0000

Other practice location 2

1000 E Primrose St Ste 170
Springfield, MO 65807-5192
Phone (417) 269-0930

Other practice location 3

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-4636

Other practice location 4

1601 Branson Hills Pkwy Ste 130
Branson, MO 65616-9821
Phone (417) 348-8400

Other practice location 5

525 Branson Landing Blvd Ste 100
Branson, MO 65616-2152
Phone (417) 348-8646

Other practice location 6

5100 N Towne Centre Dr
Ozark, MO 65721-7479
Phone (417) 581-6411

Other practice location 7

510 Highway 32 Ste B
Lebanon, MO 65536-5342
Phone (417) 730-5650

Other practice location 8

501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone (417) 269-2150

Other practice location 9

3525 E Battlefield St
Springfield, MO 65809-3435
Phone (417) 269-0065

Other practice location 10

1819 S National Ave
Springfield, MO 65804-2217
Phone (417) 269-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230425002286 KS Practitioner - Nurse Practitioner 8820453962 Reassigns benefits to 1 organization
I20240118003160 MO Practitioner - Nurse Practitioner 8820453962 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians

Practice addresses (Care Compare)

1024 Adams St
Jefferson City, MO 65101-3408
Phone (573) 635-1320

1609 Sunchase Dr
Warsaw, MO 65355-3059
Phone (660) 438-2970

3108 W Truman Blvd
Jefferson City, MO 65109-4918
Phone (573) 893-3063

872 College Blvd
Osage Beach, MO 65065-8408
Phone (573) 302-0900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023048917MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jul 28, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Jan 1, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Jan 1, 2024 Accepting new patients
Carolyn Clark FNP LLC CurrentSince Oct 1, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 28, 2025 Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Apr 13, 2023 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 28, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 28, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 28, 2025 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Feb 1, 2026 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E. Cox Medical Centers Current Accepting new patients
Inpatient Consultants of Kansas PA CurrentSince Apr 13, 2023 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Feb 1, 2026 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 28, 2025 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Lester E Cox Medical Centers PastSince Jul 28, 2024 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1065 State Highway 248
Branson, MO 65616
Phone (417) 332-3639

1601 Branson Hills Pkwy
Ste 130
Branson, MO 65616
Phone (417) 348-8400

525 Branson Landing Blvd
Ste 100
Branson, MO 65616
Phone (417) 348-8646

510 Highway 32
Ste B
Lebanon, MO 65536
Phone (417) 533-0848

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

5100 N Towne Centre Dr
Ozark, MO 65721
Phone (417) 269-2215

1000 E Primrose St
Ste 170
Springfield, MO 65807
Phone (417) 269-0930

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

1819 S National Ave
Springfield, MO 65804
Phone (417) 269-2700

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

3525 E Battlefield St
Springfield, MO 65809
Phone (417) 269-0065

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

Organizations & group practices 20

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.

View all 20

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1073219457",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 W 74TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662044004",
            "telephone_number": "913-676-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657086149",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Primrose St Ste 170",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075192",
            "country_code": "US",
            "telephone_number": "417-269-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658021917",
            "country_code": "US",
            "telephone_number": "417-269-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Branson Hills Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656169821",
            "country_code": "US",
            "telephone_number": "417-348-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Branson Landing Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162152",
            "country_code": "US",
            "telephone_number": "417-348-8646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 N Towne Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657217479",
            "country_code": "US",
            "telephone_number": "417-581-6411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Highway 32 Ste B",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655365342",
            "country_code": "US",
            "telephone_number": "417-730-5650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Old Wilderness Rd",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149490",
            "country_code": "US",
            "telephone_number": "417-269-2150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3525 E Battlefield St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658093435",
            "country_code": "US",
            "telephone_number": "417-269-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1819 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042217",
            "country_code": "US",
            "telephone_number": "417-269-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023048917",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "82024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.