NPIMap

Individual provider Active NPI

Emily Grace Kusgen, FNP-BC

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1154078434
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021034683 Issued in MO
Practice address
500 N Keene St Ste 406
Columbia, MO 65201-8104
Phone
(573) 884-3278
Fax
(573) 884-1351
NPI assigned
Mar 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 2021034683 MO Primary

Addresses

Primary practice location

500 N Keene St Ste 406
Columbia, MO 65201-8104

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

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
I20220523002384 MO Practitioner - Nurse Practitioner 7113304601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chas Physician Services LLCGroup PAC ID 7810038064, 25 clinicians
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

1605 E Broadway
Suite 300
Columbia, MO 65201-8023
Phone (573) 256-7700

500 N Keene St
Suite 406
Columbia, MO 65201-8104
Phone (573) 884-3278

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141
  • Fitzgibbon Hospital Hospital, Marshall, MO, CCN 260142
  • Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009
  • Blessing Hospital Hospital, Quincy, IL, CCN 140015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center CurrentSince May 5, 2022 Accepting new patients
Chas Physician Services LLC CurrentSince Mar 27, 2023 Accepting new patients
Chas Physician Services, LLC CurrentSince Mar 27, 2023 Accepting new patients
Bothwell Regional Health Center CurrentSince May 5, 2022 Accepting new patients
Bothwell Regional Health Center Current Accepting new patients

Locations

1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

404 Providence Rd
Macon, MO 63552
Phone (660) 395-8914

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

Organizations & group practices 9

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1154078434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST STE 406",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-884-3278",
            "fax_number": "573-884-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSGEN",
        "first_name": "EMILY",
        "middle_name": "GRACE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021034683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.