Individual provider Active NPI

Lisa Marie Knifong, FNP-C

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1306676127
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024026245 Issued in MO
Practice address
1816 NE Sparta Dr
Blue Springs, MO 64029-7724
Phone
(660) 287-7753
NPI assigned
Aug 6, 2024
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 2024026245 MO Primary

Addresses

Primary practice location

1816 NE Sparta Dr
Blue Springs, MO 64029-7724

Mailing address

1816 NE Sparta Dr
Blue Springs, MO 64029-7724
Phone (660) 287-7753

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
I20241218002418 MO Practitioner - Nurse Practitioner 5395272140 Reassigns benefits to 2 organizations
I20251218000350 KS Practitioner - Nurse Practitioner 5395272140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspring Regenerative Health, LLCGroup PAC ID 5496266082, 2 clinicians

Practice addresses (Care Compare)

13160 State Line Rd
Leawood, KS 66209-1708
Phone (816) 651-7813

1741 NW Burdett Xing
Blue Springs, MO 64015-1610
Phone (913) 270-9960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Regenerative Health, LLC Family CurrentSince Nov 15, 2025 Accepting new patients
Telemedico Physicians Pulmonary PC CurrentSince Jun 25, 2025 Accepting new patients
Rose Family Chiropractic LLC Past Accepting new patients

Locations

13160 State Line Rd
Leawood, KS 66209
Phone (816) 651-7813

1003 S Cedar St
Belton, MO 64012
Phone (816) 331-0781

1741 NW Burdett Xing
Blue Springs, MO 64015
Phone (816) 427-5244

11988 Mark Twain Ln
Bridgeton, MO 63044
Phone (314) 291-8240

14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150

615 Rancho Ln
Florissant, MO 63031
Phone (314) 837-4438

1415 W White Oak St
Independence, MO 64050
Phone (800) 982-2669

4600 Little Blue Pkwy
Independence, MO 64057
Phone (816) 795-7888

221 Bolivar St
Jefferson Cty, MO 65101
Phone 24852821166

15600 Woods Chapel Rd
Kansas City, MO 64139
Phone (816) 478-4757

904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485

1501 SW 3rd St
Lees Summit, MO 64081
Phone (615) 497-7460

2580 Norterre Cir
Liberty, MO 64068
Phone (816) 446-9784

4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900

13995 Clayton Rd
Twn and Cntry, MO 63017
Phone (636) 227-5070

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1306676127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 NE SPARTA DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640297724",
            "telephone_number": "660-287-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 NE SPARTA DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640297724",
            "telephone_number": "660-287-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIFONG",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024026245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.