NPIMap

Individual provider Active NPI

Kendra L Harralston, APRN

  • Family Nurse Practitioner
  • Mountain View, MO
National Provider Identifier
1104627066
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025008804 Issued in MO
Practice address
100 US-60
Mountain View, MO 65548
Phone
(417) 934-7000
NPI assigned
Mar 24, 2025
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 2025008804 MO Primary

Addresses

Primary practice location

100 US-60
Mountain View, MO 65548

Mailing address

3024 County Road 328
Thayer, MO 65791-8664
Phone (417) 293-6012

Other practice location 1

500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417001989 MO Practitioner - Nurse Practitioner 1456876804 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy St Francis HospitalGroup PAC ID 7810806643, 9 clinicians

Practice addresses (Care Compare)

100 W US Hwy 60
Mountain View, MO 65548-8542
Phone (417) 934-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025008804MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy St. Francis Hospital CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Apr 13, 2025 Accepting new patients
Mercy St. Francis Hospital CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Springfield CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Aurora CurrentSince Apr 13, 2025 Accepting new patients
Mercy Hospital Aurora CurrentSince Apr 13, 2025 Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

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

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1104627066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 COUNTY ROAD 328",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657918664",
            "telephone_number": "417-293-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 US-60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "65548",
            "telephone_number": "417-934-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052365",
            "country_code": "US",
            "telephone_number": "417-678-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRALSTON",
        "first_name": "KENDRA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025008804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, MO

Sources for this page

Verify at the official NPI Registry.