Individual provider Active NPI

Lenzi R Kaub, DNP

  • Family Nurse Practitioner
  • Gardner, KS
National Provider Identifier
1265024426
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79957-021 Issued in KS
Practice address
29475 W 189TH Ter
Gardner, KS 66030-9428
Phone
(913) 856-5577
NPI assigned
Feb 9, 2021
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 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 53-79957-021 KS Primary

Addresses

Primary practice location

29475 W 189TH Ter
Gardner, KS 66030-9428

Mailing address

31667 W 231St St
Spring Hill, KS 66083-6108
Phone (913) 787-0363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241026000191 KS Practitioner - Nurse Practitioner 1456884667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jayhawk Primary Care IncGroup PAC ID 8123928900, 157 clinicians

Practice addresses (Care Compare)

15435 W 134TH PL
Suite 103
Olathe, KS 66062-6135
Phone (913) 588-1227

16538 W 159TH Ter
Olathe, KS 66062-3924
Phone (913) 588-1227

29475 W 189TH Ter
Gardner, KS 66030-9428
Phone (913) 588-1227

7405 Renner Rd
Shawnee, KS 66217-9414
Phone (913) 588-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79957-021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jayhawk Primary Care Inc Current Accepting new patients
Jayhawk Primary Care Inc CurrentSince Sep 24, 2024 Accepting new patients
Jayhawk Primary Care Inc Past Accepting new patients

Locations

29475 W 189th Ter
Gardner, KS 66030
Phone (913) 445-5577

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

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

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.

Hospital & facility affiliations 2

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1265024426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31667 W 231ST ST",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660836108",
            "telephone_number": "913-787-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29475 W 189TH TER",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660309428",
            "telephone_number": "913-856-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUB",
        "first_name": "LENZI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79957-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, KS

Sources for this page

Verify at the official NPI Registry.