Active NPI
Roger Nightengale, MD
- Family Medicine Physician
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-49130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Communities
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
- Mercy Hospital Springfield
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | 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
- rnightengale171877@direct.promedica.org
- 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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family Medicine
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Obstetrics & Gynecology Physician
- Dodge City, KS
- NPI 1639953219
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.