Individual provider Active NPI

Agnes Konah Barrolle

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1366226797
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023047414 Issued in MO
Practice address
825 Euclid Ave
Kansas City, MO 64124-2323
Phone
(816) 889-4832
NPI assigned
Aug 24, 2023
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 2023047414 MO Primary
Registered Nurse 163W00000X 2017020168 MO

Addresses

Primary practice location

825 Euclid Ave
Kansas City, MO 64124-2323

Mailing address

1314 NE 85TH Ter
Kansas City, MO 64155-3001
Phone (816) 462-8166

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
I20240912003913 MO Practitioner - Nurse Practitioner 5698215952 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
Turner House Clinic IncGroup PAC ID 9739447921, shared by 14 NPIs, 15 clinicians

Practice addresses (Care Compare)

21 N 12TH St
Kansas City, KS 66102-5105
Phone 9133422552144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017020168MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel U. Rodgers Health Center, Inc CurrentSince Sep 3, 2024 Accepting new patients
Samuel U. Rodgers Health Center, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Turner House Clinic, Inc Past Accepting new patients

Locations

825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1366226797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 NE 85TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553001",
            "telephone_number": "816-462-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242323",
            "telephone_number": "816-889-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROLLE",
        "first_name": "AGNES",
        "middle_name": "KONAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023047414",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2017020168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.