Individual provider Active NPI

Callie E Kufahl, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1093472797
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021041607 Issued in MO
Practice address
5330 NW 64TH St
Kansas City, MO 64151-2414
Phone
(816) 691-3065
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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 2021041607 MO Primary

Addresses

Primary practice location

5330 NW 64TH St
Kansas City, MO 64151-2414

Mailing address

11907 E 55TH Ter
Kansas City, MO 64133-3026
Phone (785) 813-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20211124001229 MO Practitioner - Nurse Practitioner 6709276256 Reassigns benefits to 2 organizations
I20220414002180 KS Practitioner - Nurse Practitioner 6709276256 Reassigns benefits to 1 organization

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
Advanced Urologic Associates IncGroup PAC ID 7618133778, 14 clinicians
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (816) 251-5100

12330 Metcalf Ave
Suite 500a
Overland Park, KS 66213-1313
Phone (816) 251-5100

19001 E 48TH St S
Independence, MO 64055-6964
Phone (816) 251-5100

6450 N Chatham Ave
Kansas City, MO 64151-2403
Phone (816) 741-5542

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince May 13, 2024 Accepting new patients
Meritas Health Corporation CurrentSince Dec 6, 2021 Accepting new patients
Advanced Urologic Associates, Inc CurrentSince Apr 1, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Dec 6, 2021 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

14721 W 151st St
Olathe, KS 66062
Phone (913) 361-7090

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

19001 E 48th St S
Independence, MO 64055
Phone (816) 836-6875

5330 NW 64th St
Kansas City, MO 64151
Phone (816) 505-1311

6450 N Chatham Ave
Kansas City, MO 64151
Phone (816) 740-5542

3509 SW Market St
Lees Summit, MO 64082
Phone (816) 366-1197

110 NE Saint Lukes Blvd
Ste 255
Lees Summit, MO 64086

109 N Blue Jay Dr
Liberty, MO 64068
Phone (816) 691-1424

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 7

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 5

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1093472797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 E 55TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641333026",
            "telephone_number": "785-813-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 NW 64TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512414",
            "telephone_number": "816-691-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUFAHL",
        "first_name": "CALLIE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021041607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.