Marissa Renee Kehrwald, MSN-C, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020003620 Issued in MO

Practice address

1345 N Jesse James Rd
Excelsior Springs, MO 64024-1120

Phone

(816) 630-9411

Fax

(855) 642-2047

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schreier Family Medicine LLCGroup PAC ID 5890966048, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excelsior Springs Hospital Hospital, Excelsior Springs, MO, CCN 261322
• Liberty Hospital Hospital, Liberty, MO, CCN 260177

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAJHCA

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.

• Schreier Family Medicine LLC

  • Family Medicine Physician
  • Excelsior Springs, MO
  • NPI 1841586831
  Medicare reassignment Care Compare group NPD
• Northland Gastroenterology

  • Gastroenterology Physician
  • Excelsior Springs, MO
  • NPI 1093884504
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Excelsior Springs City Hospital

  • Critical Access Hospital
  • Excelsior Springs, MO
  • NPI 1609870310
  Care Compare affiliation
• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1487285946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 N JESSE JAMES RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241120",
            "telephone_number": "816-630-9411",
            "fax_number": "855-642-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 N JESSE JAMES RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241120",
            "telephone_number": "816-630-9411",
            "fax_number": "855-642-2047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 N Jesse James Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Excelsior Springs",
            "state": "MO",
            "postal_code": "640241202",
            "country_code": "US",
            "telephone_number": "816-630-9411",
            "fax_number": "855-642-2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHRWALD",
        "first_name": "MARISSA",
        "middle_name": "RENEE",
        "credential": "MSN-C, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020003620",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020003620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487285946",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevi Nicole James, OD
• Amanda Johnson, PHARM D
• Dallin M Josephson, DDS
• Kansas City Vamc
• Kcare, LLC
• Ethan R Kent, LSCSW, LCSW
• Kex RX Excelsior LLC
• Natalie A Key, M.D.
• Shelley L King, MS CCC SLP
• Erin Krantz, RBT

• Family Nurse Practitioner in Excelsior Springs, MO
• Providers in Excelsior Springs, 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 Apr 8, 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.
• 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.