Individual provider Active NPI

Modestine Rae Powers, FNP-BC

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1275370637
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024036127 Issued in MO
Practice address
5440 NW 64TH St
Kansas City, MO 64151-2415
Phone
(866) 389-2727
NPI assigned
Jul 12, 2024
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 53-83882-022 KS
Family Nurse Practitioner 363LF0000X 2024036127 MO Primary

Addresses

Primary practice location

5440 NW 64TH St
Kansas City, MO 64151-2415

Mailing address

8450 NW Prairie View Rd # 1107
Kansas City, MO 64153-1841
Phone (816) 797-9735

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
I20250516000227 MO Practitioner - Nurse Practitioner 9739607409 Reassigns benefits to 2 organizations
I20250912000639 KS Practitioner - Nurse Practitioner 9739607409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

5440 NW 64TH St
Kansas City, MO 64151-2415
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-83882-022KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Powers Healthcare, LLC Family CurrentSince Jun 9, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince May 8, 2025 Accepting new patients

Locations

4601 E Douglas Ave
Ste 150
Wichita, KS 67218
Phone (423) 502-1508

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

5440 NW 64th St
Kansas City, MO 64151
Phone (816) 741-5567

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

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": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1275370637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 NW PRAIRIE VIEW RD # 1107",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531841",
            "telephone_number": "816-797-9735",
            "fax_number": "816-207-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 NW 64TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641512415",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MODESTINE",
        "middle_name": "RAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83882-022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024036127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.