Individual provider Active NPI

Kristen Meredith Murphy, NP

  • Family Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1427941640
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025014165 Issued in MO
Practice address
211 NW Executive Way
Lees Summit, MO 64063-1846
Phone
(816) 509-3192
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 2025014165 MO Primary

Addresses

Primary practice location

211 NW Executive Way
Lees Summit, MO 64063-1846

Mailing address

3105 W 73Rd St
Prairie Village, KS 66208-3210
Phone (913) 963-5678

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
I20250719000375 MO Practitioner - Nurse Practitioner 4486160249 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
Renova Medical Center LLCGroup PAC ID 3577811736, 4 clinicians

Practice addresses (Care Compare)

211 NW Executive Way
Suite E
Lees Summit, MO 64063-1846
Phone (573) 234-1367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025014165MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renova Medical Center, LLC CurrentSince Jun 9, 2025 Accepting new patients
Rose Family Chiropractic LLC Past Accepting new patients

Locations

1401 Forum Blvd
Ste 202
Columbia, MO 65203
Phone (573) 234-1367

503 E Nifong Blvd
Ste 102
Columbia, MO 65201

211 NW Executive Way
Ste E
Lees Summit, MO 64063
Phone (573) 234-1367

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1427941640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 W 73RD ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083210",
            "telephone_number": "913-963-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NW EXECUTIVE WAY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631846",
            "telephone_number": "816-509-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KRISTEN",
        "middle_name": "MEREDITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025014165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.