Abigail L Kidwell, ARNP
Individual provider Active NPI Family Nurse Practitioner · Platte City, MO
NPI 1144536087 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1144536087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 53-75210-061 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
2703 Running Horse Rd
Platte City, MO 64079-7707
Phone (816) 858-7050
Hospital & facility affiliations
- St Lukes Hospital of Kansas City
- Saint Lukes North Hospital
- Saint Luke'S South Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121019000057 | MO | Practitioner - Nurse Practitioner | 2961691340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75210-061 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current |
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
- akidwell99679@direct.saint-lukes.org
- https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 53-75210-061 | KS | Yes |
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
Other providers in Platte City, MO
- Kansas City Vamc
- Katie Ann Keating
- Jacob Kerschenske
- Carmen Lynn Kidd
- Wade Lee Kidner
- Peyton Abigail Kilgore
- Isabelle M Kimmi
- Renae Kirk
- Zachary Thomas Koelling
- Jennifer A Koerper
All providers in Platte City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.