Individual provider Active NPI

Matthew Kahmann, DNP

  • Nurse Practitioner
  • Liberty, MO
National Provider Identifier
1245018985
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2023036517 Issued in MO
Practice address
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone
(816) 781-7200
NPI assigned
Sep 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2023036517 MO Primary

Addresses

Primary practice location

2525 Glenn Hendren Dr
Liberty, MO 64068-9625

Mailing address

1702 NE 180TH Ter
Smithville, MO 64089-9153
Phone (816) 456-5863

Other practice location 1

203 NW R D Mize Rd Ste 200
Blue Springs, MO 64014-2546
Phone (816) 220-1117

Other practice location 2

201 NW R D Mize Rd # 250
Blue Springs, MO 64014-2513
Phone (816) 220-1117

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
I20231109002452 MO Practitioner - Nurse Practitioner 3577910793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

203 NW R D Mize Rd
Suite 200
Blue Springs, MO 64014-2546
Phone (816) 220-1117

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince Aug 19, 2024 Accepting new patients

Locations

203 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 525-1600

Organizations & group practices 1

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": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1245018985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 NE 180TH TER",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899153",
            "telephone_number": "816-456-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689625",
            "telephone_number": "816-781-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 NW R D Mize Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142546",
            "country_code": "US",
            "telephone_number": "816-220-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 NW R D Mize Rd # 250",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-220-1117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHMANN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023036517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.