Individual provider Active NPI

Cheryl D Wormington, MSN RN BC, FNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1255477352
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
095709 Issued in MO
Practice address
1700 Swift Ave Ste 200
Kansas City, MO 64116-3834
Phone
(785) 262-9911
Fax
(785) 414-5184
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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 095709 MO Primary

Addresses

Primary practice location

1700 Swift Ave Ste 200
Kansas City, MO 64116-3834

Mailing address

1700 Swift Ave Ste 200
Kansas City, MO 64116-3834
Phone (785) 262-9911

Other practice location 1

6185 Jefferson Ave
Parkville, MO 64152-3488
Phone (816) 569-1506

Other practice location 2

4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Phone (816) 931-1883

Other identifiers 2

IdentifierTypeStateIssuer
1255477352MedicaidMO
200251480EMedicaidKS

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
I20040305001126 MO Practitioner - Nurse Practitioner 5799673331 Reassigns benefits to 1 organization
I20100514000046 KS Practitioner - Nurse Practitioner 5799673331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

1215 NE Coronado Dr
Carenow
Blue Springs, MO 64014-2928
Phone (816) 622-3342

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

6930 Mission Rd
Prairie Village, KS 66208-2609
Phone (913) 401-2440

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Aug 15, 2019 Accepting new patients
The Covenant Group PA Past Accepting new patients
Medical Emergency Associates L.L.C. Past Accepting new patients
Physicians Acute Care Services, Inc Past Accepting new patients
EMS, LLC Past Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: cheryl.wormington@direct.mymlc.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1255477352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SWIFT AVE STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163834",
            "telephone_number": "785-262-9911",
            "fax_number": "816-499-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SWIFT AVE STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641163834",
            "telephone_number": "785-262-9911",
            "fax_number": "785-414-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6185 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MO",
            "postal_code": "641523488",
            "country_code": "US",
            "telephone_number": "816-569-1506",
            "fax_number": "816-569-1504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4330 Wornall Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641115939",
            "country_code": "US",
            "telephone_number": "816-931-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORMINGTON",
        "first_name": "CHERYL",
        "middle_name": "D",
        "credential": "MSN RN BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "095709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255477352",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251480E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.