Theresa Grace Mangler

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023006144 Issued in MO

Practice address

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011

Phone

(816) 246-4302

Fax

(816) 246-9493

NPI assigned

Nov 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Group of Kansas City LLCGroup PAC ID 8921091455, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Research Medical Center Hospital, Kansas City, MO, CCN 260027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medical Group of Kansas City, LLC

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1407803273
  Medicare reassignment Care Compare group NPD
• Midland Care Connection, Inc.

  • Community Based Hospice Care Agency
  • Topeka, KS
  • NPI 1962441378
  Medicare reassignment NPD
• Midland Care Connection, Inc.

  • PACE Provider Organization
  • Topeka, KS
  • NPI 1053911875
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Midwest Division - RMC, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1295443943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 TERRACE ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114223",
            "telephone_number": "417-489-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866011",
            "telephone_number": "816-246-4302",
            "fax_number": "816-246-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGLER",
        "first_name": "THERESA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023006144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Garland Maize, DDS, PC
• Anna Maizlin, APRN, ANP-BC
• Ethan Maldonado, RBT
• Emily Mallette, PLPC
• Mama Is Universal
• Tracy Manikone Manhnieo, MSN, APRN, FNP-C
• Manicure Nurse LLC
• Manicure Nurse LLC
• Susan Elizabeth Manley, DPT
• Gina M Mannino, PHARM.D.

• Family Nurse Practitioner in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.

Verify at the official NPI Registry.