Kristin Laine Nersesyan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020036565 Issued in MO

Practice address

916 SW Bennington PL
Lees Summit, MO 64081-3700

Phone

(816) 204-8808

NPI assigned

Oct 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1467052381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SW BENNINGTON PL",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813700",
            "telephone_number": "816-204-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SW BENNINGTON PL",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813700",
            "telephone_number": "816-204-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERSESYAN",
        "first_name": "KRISTIN",
        "middle_name": "LAINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020036565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nelson
• Lindsay Nelson, RD, LD
• Lisa Nelson, DNP
• Victoria Nelson, MSW,LMSW
• Laura Jean Nennig I, O.D.
• Neurodiversity Clinic LLC
• New Hope Counseling LLC
• New Life Chiropractic LLC
• Brandi Newcomer
• Kayel Newland, PA-C

• Family Nurse Practitioner in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.