Individual provider Active NPI

Vienna Mueni Munguti

  • Family Nurse Practitioner
  • Gardner, KS
National Provider Identifier
1255045993
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-81363-032 Issued in KS
Practice address
30067 W 184TH Ter
Gardner, KS 66030-8803
Phone
(816) 878-8773
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 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 53-81363-032 KS Primary

Addresses

Primary practice location

30067 W 184TH Ter
Gardner, KS 66030-8803

Mailing address

30067 W 184TH Ter
Gardner, KS 66030-8803
Phone (816) 878-8773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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
I20230710003546 KS Practitioner - Nurse Practitioner 3173982030 Reassigns benefits to 1 organization
I20230710003641 MO Practitioner - Nurse Practitioner 3173982030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

1001 6TH Ave
Leavenworth, KS 66048-3248

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

12330 Metcalf Ave
Overland Park, KS 66213-1324

1307 E N Ave
Belton, MO 64012-5109
Phone (816) 251-5765

20 NE Saint Lukes Blvd
Lee'S Summit, MO 64086-6001

301 NE Rice Rd
Lees Summit, MO 64086-2979
Phone (816) 251-5760

310 SW Ward Rd
Lees Summit, MO 64081-2445
Phone (816) 251-5770

4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630

5151 Troost Ave
Suite 200
Kansas City, MO 64110-2524
Phone (816) 502-9130

5844 NW Barry Rd
Kansas City, MO 64154-1483

601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700

601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999

6655 Martway St
Mission, KS 66202-3290
Phone (913) 323-8875

8860 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8101

8880 NE 82ND Ter
Kansas City, MO 64158-1313
Phone (816) 437-8125

9107 NW 45 Hwy
Parkville, MO 64152-3958
Phone (816) 251-5775

9400 E
Suite 350
Raytown, MO 64133-6509
Phone (816) 251-5700

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as group
Quality
76.07
Promoting interoperability
100
Improvement activities
40
Cost
65.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81363-032KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Physician Group Inc Family CurrentSince Jun 6, 2023 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jun 6, 2023 Accepting new patients

Locations

711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

901 E 104th St
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 2

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 4

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1255045993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30067 W 184TH TER",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660308803",
            "telephone_number": "816-878-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30067 W 184TH TER",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660308803",
            "telephone_number": "816-878-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUTI",
        "first_name": "VIENNA",
        "middle_name": "MUENI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81363-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

Verify at the official NPI Registry.