Active NPI
Bonnie Landgraf
- Family Nurse Practitioner
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TMP-153360
- Practice address
- 700 Nebraska Ave
Kansas City, KS 66101-2111 - Phone
- (913) 951-8731
- Fax
- (913) 426-9057
- NPI assigned
- Jul 21, 2016
- Last updated
- Mar 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TMP-153360 | KS | Primary |
Addresses
Primary practice location
700 Nebraska Ave
Kansas City, KS 66101-2111
Mailing address
PO Box 746874
Atlanta, GA 30374-6874
Phone (312) 733-9730
Other practice location 1
713 W 11th St
Larned, KS 67550-2055
Phone (620) 804-6007
Other practice location 2
1634 E 63rd St
Kansas City, MO 64110-3502
Phone (816) 381-5648
Other practice location 3
16659 E 23rd St S
Independence, MO 64055-1922
Phone (816) 688-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Nebraska Ave
Kansas City, KS 66101-2111
Phone (913) 951-8731
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TMP-153360 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Kansas LLC | Family | Current | Accepting new patients |
| Oak Street Health Physicians Group of Missouri, LLC | Family | Current | Accepting new patients |
| Hays Medical Center, Inc. | Past | Accepting new patients |
Locations
16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000
1634 E 63rd St
Kansas City, MO 64110
Phone (816) 209-6960
3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Kansas City, KS
- NPI 1336836949
Family
-
- Primary Care Clinic/Center
- Saint Louis, MO
- NPI 1669041760
Family
-
dba Hays Medical Group
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1255784518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746874",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746874",
"telephone_number": "312-733-9730",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NEBRASKA AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661012111",
"telephone_number": "913-951-8731",
"fax_number": "913-426-9057"
}
],
"practiceLocations": [
{
"address_1": "713 W 11th St",
"address_purpose": "LOCATION",
"city": "Larned",
"state": "KS",
"postal_code": "675502055",
"country_code": "US",
"telephone_number": "620-804-6007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1634 E 63rd St",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641103502",
"country_code": "US",
"telephone_number": "816-381-5648",
"fax_number": "816-281-1871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16659 E 23rd St S",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640551922",
"country_code": "US",
"telephone_number": "816-688-6000",
"fax_number": "816-631-1885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDGRAF",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "TMP-153360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.