Individual provider Active NPI

Roger Nightengale, MD

  • Family Medicine Physician
  • Garden City, KS
National Provider Identifier
1508428632
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-49130 Issued in KS
Practice address
310 E Walnut St
Garden City, KS 67846
Phone
(620) 275-9752
Fax
(620) 275-4306
NPI assigned
Jun 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351045651 MI
Family Medicine Physician 207Q00000X 2023010819 MO
Family Medicine Physician 207Q00000X 04-49130 KS Primary
Hospitalist Physician 208M00000X 4351045651 MI

Addresses

Primary practice location

310 E Walnut St
Garden City, KS 67846

Mailing address

PO Box 803929
Kansas City, MO 64180-3929

Other practice location 1

721 E Highland St
Aurora, MO 65605
Phone (417) 308-2278

Other practice location 2

650 Stewart Rd
Monroe, MI 48162-4222
Phone (734) 420-8430

Other practice location 3

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8927

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808004090 MO Practitioner - Family Practice 9335478981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 888-6735

550 S Hudson Ave
MC Family Medicine Aurora
Aurora, MO 65605-2362
Phone (417) 678-5176

Hospital & facility affiliations

  • Mercy Hospital Aurora Hospital, Aurora, MO, CCN 261316
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Hospital Aurora Past Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients

Locations

550 S Hudson Ave
Aurora, MO 65605
Phone (417) 678-0632

721 E Highland St
Aurora, MO 65605
Phone (417) 308-2278

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 888-5665

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: rnightengale171877@direct.promedica.org
  • Direct secure messaging: rnightengale1104084@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1508428632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803929",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E WALNUT ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "67846",
            "telephone_number": "620-275-9752",
            "fax_number": "620-275-4306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 E Highland St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "65605",
            "country_code": "US",
            "telephone_number": "417-308-2278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Stewart Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624222",
            "country_code": "US",
            "telephone_number": "734-420-8430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 N Macomb St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481627815",
            "country_code": "US",
            "telephone_number": "734-240-8927",
            "fax_number": "734-240-8987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTENGALE",
        "first_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351045651",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023010819",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-49130",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4351045651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.