Active NPI
Kenny Chrysostome
- Psychiatric/Mental Health Nurse Practitioner
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5385388081
- Practice address
- 8929 Parallel Pkwy
Kansas City, KS 66112-1689 - Phone
- (913) 596-4000
- NPI assigned
- Dec 30, 2022
- Last updated
- Aug 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP035653 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP004147 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP251894 | ME | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5385388081 | KS | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71017854A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11042205 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0041464 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2026018306 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209035574 | IL |
Addresses
Primary practice location
8929 Parallel Pkwy
Kansas City, KS 66112-1689
Mailing address
115 Jay CT
Royal Palm Beach, FL 33411-1723
Phone (561) 797-9787
Other practice location 1
4810 Riverstone Blvd Ste 100
Missouri City, TX 77459-4092
Phone (877) 744-6483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, OH, IN, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Jay CT
Royal Palm Beach, FL 33411-1723
4810 Riverstone Blvd
Suite 100
Missouri City, TX 77459-4092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11042205 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| NP004147 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 209035574 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 71017854A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
| 5385388081 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
| CNP251894 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2026018306 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0041464 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP035653 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TP Health TX PC | Current | Accepting new patients | |
| TP-Health Incorporated | Current | Accepting new patients |
Locations
4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
770 Roosevelt Trl
Ste 8
North Windham, ME 04062
Phone (207) 300-2471
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
4810 Riverstone Blvd
Ste 100
Missouri City, TX 77459
Phone (832) 916-2677
Organizations & group practices 2
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.
-
dba Online Telemedicine
- Psychiatry Physician
- Missouri City, TX
- NPI 1760047526
IN, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1407569817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 JAY CT",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111723",
"telephone_number": "561-797-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 PARALLEL PKWY",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661121689",
"telephone_number": "913-596-4000"
}
],
"practiceLocations": [
{
"address_1": "4810 Riverstone Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Missouri City",
"state": "TX",
"postal_code": "774594092",
"country_code": "US",
"telephone_number": "877-744-6483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHRYSOSTOME",
"first_name": "KENNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-30",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP035653",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "NP004147",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP251894",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "5385388081",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71017854A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11042205",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0041464",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2026018306",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209035574",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.