Individual provider Active NPI

Krishelle Ivory

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1245709260
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0233929 Issued in MO
Practice address
8350 N Church Rd
Kansas City, MO 64158-1104
Phone
(913) 297-7472
Fax
(816) 407-9053
NPI assigned
Nov 20, 2018
Last updated
May 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019000926 MO
Family Nurse Practitioner 363LF0000X 0233929 MO Primary

Addresses

Primary practice location

8350 N Church Rd
Kansas City, MO 64158-1104

Mailing address

8350 N Church Rd
Kansas City, MO 64158-1104
Phone (913) 297-7472

Other practice location 1

5473 N Mercier Ave
Kansas City, MO 64118-7815
Phone (816) 589-1460

Other identifiers 1

IdentifierTypeStateIssuer
0233929MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190131000470 MO Practitioner - Nurse Practitioner 4880931781 Reassigns benefits to 3 organizations
I20190314000034 KS Practitioner - Nurse Practitioner 4880931781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, shared by 4 NPIs, 1,809 clinicians

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

6420 N Prospect Ave
Creekwood Urgent Care
Gladstone, MO 64119-1530
Phone (913) 574-2273

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0233929MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 17, 2025 Accepting new patients
Truman Medical Center, Incorporated CurrentSince Nov 17, 2025 Accepting new patients
Kansas University Physicians, Inc. CurrentSince Dec 14, 2021 Accepting new patients
Emergent Care Plus, LLC CurrentSince Nov 18, 2021 Accepting new patients
Kansas University Physicians Inc CurrentSince Dec 14, 2021 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

11300 Corporate Ave
Ste 330
Lenexa, KS 66219
Phone (913) 588-6111

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

6420 N Prospect Ave
Gladstone, MO 64119
Phone (913) 945-9700

2301 Holmes St
Kansas City, MO 64108

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

2741 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 554-2600

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1245709260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 N CHURCH RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581104",
            "telephone_number": "913-297-7472",
            "fax_number": "816-407-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 N CHURCH RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581104",
            "telephone_number": "913-297-7472",
            "fax_number": "816-407-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5473 N Mercier Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641187815",
            "country_code": "US",
            "telephone_number": "816-589-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVORY",
        "first_name": "KRISHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019000926",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "0233929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233929",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.