NPIMap

Individual provider Active NPI

Kendra McMillion

  • Family Nurse Practitioner
  • Lebanon, MO
National Provider Identifier
1235759093
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020012105 Issued in MO
Practice address
510 Highway 32
Lebanon, MO 65536-5303
Phone
(417) 269-2278
Fax
(417) 269-2274
NPI assigned
Apr 22, 2020
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 2020012105 MO Primary

Addresses

Primary practice location

510 Highway 32
Lebanon, MO 65536-5303

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 269-5712

Other names 1

  • Kendra Frana Rainey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address conwayfamilyclinic@centurytel.net Conway Family Clinic, Inc.

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
I20201005001382 MO Practitioner - Nurse Practitioner 6204255698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, shared by 28 NPIs, 336 clinicians
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

510 Hwy 32
Suite B
Lebanon, MO 65536-5303
Phone (417) 533-0848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020012105MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 5, 2021 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 5, 2021 Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lester E Cox Medical Centers PastSince Mar 13, 2022 Accepting new patients

Locations

510 Highway 32
Lebanon, MO 65536
Phone (417) 269-2278

510 Highway 32
Ste C
Lebanon, MO 65536
Phone (417) 269-2278

3801 S National Ave
Ste 1122
Springfield, MO 65807

Organizations & group practices 6

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1235759093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HIGHWAY 32",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655365303",
            "telephone_number": "417-269-2278",
            "fax_number": "417-269-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLION",
        "first_name": "KENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020012105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "conwayfamilyclinic@centurytel.net",
            "affiliation": "Y",
            "affiliationName": "Conway Family Clinic, Inc.",
            "address_1": "301 S Newport Ave",
            "city": "Conway",
            "state": "MO",
            "country_code": "US",
            "postal_code": "656328322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "FRANA RAINEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.