Samuel W Muchiri

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2012004415 Issued in MO

Practice address

3066 SW Grandstand Cir
Lees Summit, MO 64081-3866

Phone

(913) 215-5008

Fax

(816) 447-3960

NPI assigned

Aug 5, 2016

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  KS, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Kansas H LLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1073407227

  KS

  Medicare reassignment NPD
• Cardiorenal Vision of Missouri LLC

  • Cardiovascular Disease Physician
  • Kansas City, MO
  • NPI 1285529289
  Medicare reassignment
• Complete Health Care Services PA

  • Geriatric Medicine (Family Medicine) Physician
  • Leawood, KS
  • NPI 1427350248

  MO

  Medicare reassignment

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1386198406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 875743",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641875743",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 SW GRANDSTAND CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813866",
            "telephone_number": "913-215-5008",
            "fax_number": "816-447-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHIRI",
        "first_name": "SAMUEL",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016016593",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012004415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motion Human Performance
• Paige Motwani, FNP
• Lauren Jean Moyer, LCSW
• Mpact Associates Inc.
• Irene Muange
• Hollee Ann Muller, LCSW
• Stephanie Lauren Mullins, DDS
• Stephanie Mummert, PHARMD
• Spider Murphy-Taylor, LPC
• Hailey Murphy

• Adult Health Nurse Practitioner in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.