Kristine D Mall, RN BC ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

127507 Issued in MO

Practice address

2330 E Meyer Blvd Ste 101
Kansas City, MO 64132-1140

Phone

(816) 276-9800

Fax

(816) 276-9201

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristine Boenker Former name

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristine.mall@hca2.eclinicaldirectplus.com

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.

• Connectcare Hospitalists, LLC.

  • Hospitalist Physician
  • Kansas City, MO
  • NPI 1740718675
  Medicare reassignment NPD
• Connectcare Medical Associates

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1851180814
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1659453546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 SW CURRENT LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824099",
            "telephone_number": "816-524-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD STE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321140",
            "telephone_number": "816-276-9800",
            "fax_number": "816-276-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALL",
        "first_name": "KRISTINE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "RN BC ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "127507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KRISTINE.MALL@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2330 E Meyer Blvd Ste 101",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641321140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "BOENKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chesang Malinga
• Cherian George Malipurathu, RN, MSN,FNP-BC, PTA
• James A Maliszewski, MD
• Jeanne Maliwat
• Lujain Malkawi
• Stephanie Lynn Mall, L.AC.
• Leslie Marie Malle, APRN
• Kathleen Mallett, MSN, FNP-C
• Raquel Desiree Mallett
• Luellen Malley, M.D.

• Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.