Individual provider Active NPI

Molly L. Cahill, NP-C

  • Acute Care Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1336104702
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
094759 Issued in MO
Practice address
4320 Wornall Road
Suite 208
Kansas City, MO 64111-3255
Phone
(816) 531-0552
Fax
(816) 756-2503
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 094759 MO Primary
Nurse Practitioner 363L00000X 094759 MO

Addresses

Primary practice location

4320 Wornall Road
Suite 208
Kansas City, MO 64111-3255

Mailing address

4320 Wornall Road
Suite 208
Kansas City, MO 64111-3255
Phone (816) 531-0552

Other identifiers 1

IdentifierTypeStateIssuer
200372510AMedicaidMO

Other names 1

  • Mary Louise Lillis Other name

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
I20060410000445 MO Practitioner - Nurse Practitioner 0547279143 Reassigns benefits to 1 organization
I20180131001228 KS Practitioner - Nurse Practitioner 0547279143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Kidney Consultants PAGroup PAC ID 2769454644, 16 clinicians

Practice addresses (Care Compare)

308 Galaxie Ave
Harrisonville, MO 64701-2084
Phone (816) 531-0552

4320 Wornall Rd
Suite 208
Kansas City, MO 64111-5964
Phone (816) 531-0552

4407 E 50TH Ter Davita Swope
Kansas City, MO 64130-2855
Phone (816) 531-0552

8608 E 63Rd St
Kansas City, MO 64133-4725
Phone (816) 531-0552

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
094759MOMDNurse 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 3

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1336104702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 WORNALL ROAD",
            "address_2": "SUITE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113255",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL ROAD",
            "address_2": "SUITE 208",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113255",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "MOLLY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "094759",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "094759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200372510A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LILLIS",
            "middle_name": "LOUISE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.