Individual provider Active NPI

Tracey Mamerow, APRN

  • Family Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1144136664
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2026035189 Issued in MO
Practice address
10950 W 86TH St
Lenexa, KS 66214-1634
Phone
(913) 722-4240
Fax
(913) 721-0298
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5386123032 KS
Family Nurse Practitioner 363LF0000X 2026035189 MO Primary

Addresses

Primary practice location

10950 W 86TH St
Lenexa, KS 66214-1634

Mailing address

10950 W 86TH St
Lenexa, KS 66214-1634
Phone (913) 722-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1144136664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 W 86TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141634",
            "telephone_number": "913-722-4240",
            "fax_number": "913-721-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 W 86TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141634",
            "telephone_number": "913-722-4240",
            "fax_number": "913-721-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMEROW",
        "first_name": "TRACEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5386123032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026035189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.