NPIMap

Individual provider Active NPI

Abigail L Kidwell, ARNP

  • Family Nurse Practitioner
  • Platte City, MO
National Provider Identifier
1144536087
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75210-061 Issued in KS
Practice address
2703 Running Horse Rd
Platte City, MO 64079-7707
Phone
(816) 858-7050
Fax
(816) 858-7055
NPI assigned
Aug 30, 2010
Last updated
Mar 17, 2018By the provider in NPPES
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 53-75210-061 KS Primary

Addresses

Primary practice location

2703 Running Horse Rd
Platte City, MO 64079-7707

Mailing address

2703 Running Horse Rd
Platte City, MO 64079-7707
Phone (816) 858-7050

Other practice location 1

808 N 19th St
Marysville, KS 66508-1358
Phone (785) 562-2303

Other practice location 2

808 N 19th St
Marysville, KS 66508-1358
Phone (785) 562-2303

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
I20121019000057 MO Practitioner - Nurse Practitioner 2961691340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
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)

2703 Running Horse Rd
Platte City, MO 64079-7707
Phone (816) 858-7050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75210-061KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Luke's Physician Group Inc CurrentSince Apr 30, 2018 Accepting new patients
Community Memorial Healthcare, Inc Past Accepting new patients
Community Memorial Healthcare, Inc. Past Accepting new patients

Locations

8860 NE 82nd Ter
Kansas City, MO 64158
Phone (816) 437-8101

2703 Running Horse Rd
Platte City, MO 64079
Phone (816) 858-3250

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

Interoperability endpoints

  • Direct secure messaging: akidwell99679@direct.saint-lukes.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd

Organizations & group practices 3

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 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": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144536087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 RUNNING HORSE RD",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797707",
            "telephone_number": "816-858-7050",
            "fax_number": "816-858-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 RUNNING HORSE RD",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797707",
            "telephone_number": "816-858-7050",
            "fax_number": "816-858-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "KS",
            "postal_code": "665081358",
            "country_code": "US",
            "telephone_number": "785-562-2303",
            "fax_number": "785-562-2034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 N 19th St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "KS",
            "postal_code": "665081358",
            "country_code": "US",
            "telephone_number": "785-562-2303",
            "fax_number": "785-562-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "ABIGAIL",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75210-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte City, MO

Sources for this page

Verify at the official NPI Registry.