Individual provider Active NPI

Cynthia NMN Wilson, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Excelsior Springs, MO
National Provider Identifier
1447052501
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025002494 Issued in MO
Practice address
1003 Meadowlark LN
Excelsior Springs, MO 64024-3304
Phone
(816) 630-3145
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-84487 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025002494 MO Primary

Addresses

Primary practice location

1003 Meadowlark LN
Excelsior Springs, MO 64024-3304

Mailing address

8911 N Capital of Texas Hwy Ste 110
Building 1 Suite 110
Austin, TX 78759-7247
Phone (877) 279-5960

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
I20250428001378 MO Practitioner - Nurse Practitioner 1052837663 Reassigns benefits to 2 organizations
I20250807001137 KS Practitioner - Nurse Practitioner 1052837663 Reassigns benefits to 2 organizations

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
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians
CH Specialty Services KS LLCGroup PAC ID 6800261819, 65 clinicians

Practice addresses (Care Compare)

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 648-3333

2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (337) 991-9276

403 W Main St
Cole Camp, MO 65325-1144
Phone (337) 991-9276

9100 Park St
Suite 280
Lenexa, KS 66215-3353
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
53-84487KSMDPsychiatric/Mental Health Nurse Practitioner
2025002494MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services KS LLC CurrentSince Jul 25, 2025 Accepting new patients
CH Specialty Services Mo LLC CurrentSince Apr 15, 2025 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Apr 15, 2025 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

9100 Park St
Ste 280
Lenexa, KS 66215

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515

701 Blue Ridge Rd
Columbia, MO 65202
Phone (573) 474-6111

1003 Meadowlark Ln
Excelsior Springs, MO 64024
Phone (816) 603-3145

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1447052501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8911 N CAPITAL OF TEXAS HWY STE 110",
            "address_2": "BUILDING 1 SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597247",
            "telephone_number": "877-279-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 MEADOWLARK LN",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640243304",
            "telephone_number": "816-630-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CYNTHIA",
        "middle_name": "NMN",
        "credential": "PMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-84487",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025002494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.