Individual provider Active NPI

Ryan Tegerdine, APRN-CNP

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1548148653
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025036705 Issued in MO
Practice address
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone
(816) 599-5500
NPI assigned
Aug 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025036705 MO Primary

Addresses

Primary practice location

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Mailing address

2523 Tracy Ave
Kansas City, MO 64108-2937

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002326 MO Practitioner - Nurse Practitioner 1951893163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swope Health ServicesGroup PAC ID 5294644530, 51 clinicians

Practice addresses (Care Compare)

17844 E 23Rd St S
Independence, MO 64057-1840
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025036705MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services CurrentSince Sep 22, 2025 Accepting new patients
Swope Health Services CurrentSince Sep 22, 2025 Accepting new patients

Locations

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

Organizations & group practices 2

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1548148653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 TRACY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-599-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGERDINE",
        "first_name": "RYAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025036705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.