Individual provider Active NPI

Abigail R Raynolds, ARNP

  • Adult Health Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1588690945
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
097940 Issued in MO
Practice address
8550 Marshall Dr
Ste 100
Lenexa, KS 66214-1505
Phone
(913) 894-1500
Fax
(913) 894-1502
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 13-48978-101 KS
General Practice Registered Nurse 163WG0000X 097940 MO
Adult Health Nurse Practitioner 363LA2200X 44902 KS
Adult Health Nurse Practitioner 363LA2200X 097940 MO Primary

Addresses

Primary practice location

8550 Marshall Dr
Ste 100
Lenexa, KS 66214-1505

Mailing address

8550 Marshall Dr
Ste 100
Lenexa, KS 66214-1505
Phone (913) 894-1500

Other identifiers 2

IdentifierTypeStateIssuer
097940OtherMOMO ANP LICENSE
44902OtherKSKS ARNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180411002190 NY Practitioner - Nurse Practitioner 8426147919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13-48978-101KSMDGeneral Practice Registered Nurse
097940MOMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Feb 26, 2018 Accepting new patients
University of Rochester CurrentSince Feb 26, 2018 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
Hematology Clinical Group Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Westglen Gastrointestinal Consultants PA Past Accepting new patients

Locations

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#704
Rochester, NY 14642
Phone (585) 275-5823

Interoperability endpoints

  • Direct secure messaging: gfantauzzo130745@direct.urmc.rochester.edu
  • Direct secure messaging: abigail.raynolds@hca2.eclinicaldirectplus.com

Organizations & group practices 8

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588690945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR",
            "address_2": "STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "913-894-1500",
            "fax_number": "913-894-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR",
            "address_2": "STE 100",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "913-894-1500",
            "fax_number": "913-894-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOLDS",
        "first_name": "ABIGAIL",
        "middle_name": "R",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KS",
            "license": "13-48978-101",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "097940",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "44902",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "097940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO ANP LICENSE",
            "identifier": "097940",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS ARNP LICENSE",
            "identifier": "44902",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.