Active NPI
Immaculate Kume Ngum, FNP
- Nurse Practitioner
- Raytown, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 80845
- Practice address
- 8219 E 85TH Ter
Raytown, MO 64138-3020 - Phone
- (816) 204-1334
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 23541795 | MO | |
| Nurse Practitioner | 363L00000X | 80845 | KS | Primary |
Addresses
Primary practice location
8219 E 85TH Ter
Raytown, MO 64138-3020
Mailing address
8219 E 85TH Ter
Raytown, MO 64138-3020
Phone (816) 204-1334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4949 Westgrove Dr
Dallas, TX 75248-1923
Phone (833) 870-0904
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23541795 | MO | MD | Gerontology Registered Nurse |
| 80845 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Minuteclinic Diagnostic of Kansas PA | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Kansas Post Acute Medical Services 1 PA | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Harwood Healthcare Corp | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
15040 W 138th St
Olathe, KS 66062
Phone (913) 254-7265
17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686
1301 S Main St
Ottawa, KS 66067
Phone (785) 229-3367
601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002
9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190
2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767
8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 10
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.
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1770475386
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1548563737
-
- Hospitalist Physician
- Colwich, KS
- NPI 1124557020
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1225331002
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1134999543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1578190062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8219 E 85TH TER",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641383020",
"telephone_number": "816-204-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8219 E 85TH TER",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641383020",
"telephone_number": "816-204-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUM",
"first_name": "IMMACULATE",
"middle_name": "KUME",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "MO",
"license": "23541795",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "80845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.