Individual provider Active NPI

Abie Kowa

  • Family Nurse Practitioner
  • Belton, MO
National Provider Identifier
1083451215
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024012468 Issued in MO
Practice address
511 Fall Creek Dr
Belton, MO 64012-7807
Phone
(816) 255-9825
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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 2024012468 MO Primary

Addresses

Primary practice location

511 Fall Creek Dr
Belton, MO 64012-7807

Mailing address

511 Fall Creek Dr
Belton, MO 64012-7807
Phone (816) 255-9825

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
I20250221001307 MO Practitioner - Nurse Practitioner 0244750107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Health Care Services PAGroup PAC ID 7012199326, 9 clinicians

Practice addresses (Care Compare)

3001 E Elm St
Crown Care
Harrisonville, MO 64701-1196
Phone (913) 322-8859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024012468MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jul 28, 2025 Accepting new patients
Trinity in-Home Health Care LLC CurrentSince Jul 21, 2024 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Sep 20, 2025 Accepting new patients
Complete Health Care Services PA CurrentSince Feb 1, 2025 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

11111 Nall Ave
Ste 103
Overland Park, KS 66211
Phone (913) 226-7332

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

3001 E Elm St
Harrisonville, MO 64701
Phone (816) 380-6525

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190

2160 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 554-0101

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332

809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1083451215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 FALL CREEK DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640127807",
            "telephone_number": "816-255-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 FALL CREEK DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640127807",
            "telephone_number": "816-255-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWA",
        "first_name": "ABIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024012468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

Verify at the official NPI Registry.