Individual provider Active NPI

Kristine Marie Rottinghaus, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1104818483
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
150152 Issued in MO
Practice address
4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Phone
(816) 931-1883
Fax
(816) 751-8635
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 150152 MO Primary

Addresses

Primary practice location

4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117

Other practice location 1

2000 SE Blue Pkwy
Suite 210
Lees Summit, MO 64063-1041
Phone (816) 607-2950

Other practice location 2

2000 SE Blue Pkwy
Suite 210
Lees Summit, MO 64063-1041
Phone (816) 607-2950

Other identifiers 1

IdentifierTypeStateIssuer
428967814MedicaidMO

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
I20060403000797 MO Practitioner - Nurse Practitioner 9032127956 Reassigns benefits to 1 organization
I20160122000210 KS Practitioner - Nurse Practitioner 9032127956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

110 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

120 NE Saint Lukes Blvd
Suite 220
Lees Summit, MO 64086-6000
Phone (816) 347-5800

4320 Wornall Rd
Kansas City, MO 64111-5941
Phone (816) 932-2800

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Lukes North Hospital Hospital, Kansas City, MO, CCN 260062
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke'S Physician Group Inc CurrentSince Jan 1, 2018 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Past Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

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

12330 Metcalf Ave
Ste 280
Overland Park, KS 66213
Phone (913) 491-1000

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

4330 Wornall Rd
Ste 2000
Kansas City, MO 64111

901 E 104th St
Stop 400S
Kansas City, MO 64131

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

20 NE Saint Lukes Blvd
Ste 240
Lees Summit, MO 64086

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104818483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7117",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD STE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115939",
            "telephone_number": "816-931-1883",
            "fax_number": "816-751-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 SE Blue Pkwy",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631041",
            "country_code": "US",
            "telephone_number": "816-607-2950",
            "fax_number": "816-607-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 SE Blue Pkwy",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631041",
            "country_code": "US",
            "telephone_number": "816-607-2950",
            "fax_number": "816-607-2990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTTINGHAUS",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "150152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428967814",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.