Individual provider Active NPI

Charles Willits, FNP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1154065134
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022021366 Issued in MO
Practice address
9151 NE 81St Ter Ste 100
Kansas City, MO 64158-1176
Phone
(816) 781-4740
Fax
(816) 781-0971
NPI assigned
Apr 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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 2022021366 MO Primary

Addresses

Primary practice location

9151 NE 81St Ter Ste 100
Kansas City, MO 64158-1176

Mailing address

9151 NE 81St Ter Ste 100
Kansas City, MO 64158-1176
Phone (816) 781-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221021001447 MO Practitioner - Nurse Practitioner 6608242235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Family Care PCGroup PAC ID 3476554924, 5 clinicians

Practice addresses (Care Compare)

9151 NE 81St Ter
Suite 100
Kansas City, MO 64158-1125
Phone (816) 781-4740

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Family Care, P.C. CurrentSince Jun 19, 2023 Accepting new patients
Liberty Hospital Emergency Medicine Physicians, LLC CurrentSince Aug 1, 2022 Accepting new patients
New Liberty Hospital Coporation PastSince Nov 17, 2024 Accepting new patients
Marion Pain Center, LLC PastSince Jun 19, 2023 Accepting new patients

Locations

9151 NE 81st Ter
Ste 100
Kansas City, MO 64158
Phone (816) 781-4740

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: charles.willits.p1@direct.northlandfamilycare.nextgenshare.com

Organizations & group practices 4

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 1

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1154065134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581176",
            "telephone_number": "816-781-4740",
            "fax_number": "816-781-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 NE 81ST TER STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581176",
            "telephone_number": "816-781-4740",
            "fax_number": "816-781-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLITS",
        "first_name": "CHARLES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022021366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.