Individual provider Active NPI

Kacy Sue Warner, NP

  • Nurse Practitioner
  • Independence, MO
National Provider Identifier
1265997290
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019003453 Issued in MO
Practice address
19600 E 39TH St S
Independence, MO 64057-2301
Phone
(816) 839-3994
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019003453 MO
Nurse Practitioner 363L00000X 2019003453 MO Primary

Addresses

Primary practice location

19600 E 39TH St S
Independence, MO 64057-2301

Mailing address

1010 Carondelet Dr Ste 121
Kansas City, MO 64114-4859
Phone (816) 912-2100

Other practice location 1

2316 E Meyer Blvd
Kansas City, MO 64132-1199
Phone (816) 268-4000

Other practice location 2

17065 S. 71 Highway
Belton, MO 64012
Phone (816) 348-1200

Other practice location 3

5721 W 119th St
Overland Park, KS 66209-3722
Phone (913) 413-7267

Other practice location 4

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 413-7267

Other practice location 5

2100 SE Blue Pkwy
Lees Summit, MO 64063-1007
Phone (816) 839-3994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190723003229 MO Practitioner - Nurse Practitioner 7719213131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectcare Hospitalists LLCGroup PAC ID 3173891256, 14 clinicians

Practice addresses (Care Compare)

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 912-2100

Hospital & facility affiliations

  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097
  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2019003453MOMDNurse Practitioner

Organizations & group practices 1

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 5

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1265997290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CARONDELET DR STE 121",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144859",
            "telephone_number": "816-912-2100",
            "fax_number": "636-438-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "816-839-3994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321199",
            "country_code": "US",
            "telephone_number": "816-268-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17065 S. 71 Highway",
            "address_purpose": "LOCATION",
            "city": "Belton",
            "state": "MO",
            "postal_code": "64012",
            "country_code": "US",
            "telephone_number": "816-348-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "913-413-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662152306",
            "country_code": "US",
            "telephone_number": "913-413-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 SE Blue Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631007",
            "country_code": "US",
            "telephone_number": "816-839-3994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "KACY",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019003453",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019003453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.