Individual provider Active NPI

Bonnie Landgraf

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1255784518
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TMP-153360 Issued in KS
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 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, 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
I20160809001706 KS Practitioner - Nurse Practitioner 1052605318 Reassigns benefits to 1 organization
I20240308000265 MO Practitioner - Nurse Practitioner 1052605318 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
Group practices
Oak Street Health Physicians Group of Kansas LLCGroup PAC ID 8527412782, 8 clinicians

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

LicenseStateTypeSpecialty
TMP-153360KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Kansas LLC Family CurrentSince Sep 29, 2023 Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Family CurrentSince Jan 21, 2024 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.

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

Verify at the official NPI Registry.