Trista Calhoun, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Merriam, KS
NPI 1659787281 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1659787281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 76674 (KS)
- Practice address
- 9700 W 62ND St
Merriam, KS 66203-3220 - Phone
- (913) 384-0800
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- NV Pacs 2 LLC
Kansas Post Acute Medical Services 1 PA
Practice addresses (Care Compare)
2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000
6509 W 103Rd St
Overland Park, KS 66212-1728
Phone (913) 649-3701
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150217001458 | KS | Practitioner - Nurse Practitioner | 5395060255 | Reassigns benefits to 4 organizations |
| I20150303001020 | MO | Practitioner - Nurse Practitioner | 5395060255 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76674 | KS | MD | Family Nurse Practitioner |
| 2014011108 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Midwest LLC | Current |
Accepting new patients | |
| NV Pacs 2 LLC | Current |
Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current |
Accepting new patients | |
| Kansas Post Acute Medical Services 1 PA | Current |
Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current | Accepting new patients | |
| Inpatient Consultants of Kansas PA | Current |
Accepting new patients |
Locations
17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686
6509 W 103rd St
Overland Park, KS 66212
Phone (913) 649-3701
10540 Marty St
Ste 100
Overland Park, KS 66212
601 E Main St
Pretty Prairie, KS 67570
Phone (620) 459-6822
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
9700 W 62nd St
Shawnee Mission, KS 66203
Phone (913) 384-0200
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140
800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100
3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089
1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2014011108 | MO | |
| Family Nurse Practitioner | 363LF0000X | 76674 | KS | Yes |
Addresses
Primary practice location
9700 W 62ND St
Merriam, KS 66203-3220
Mailing address
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (913) 660-1616
NPI Registry JSON
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1659787281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36123 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501216",
"telephone_number": "913-660-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 W 62ND ST",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662033220",
"telephone_number": "913-384-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALHOUN",
"first_name": "TRISTA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014011108",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "76674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
- Matthew Allen Butler
- Alexa N Byrd
- Mary Clare Byrne
- Christopher Cadiz
- Carmine J. Cagle
- Angelica Calleja
- Kathryn E Cameron
- Oliver Canahuate
- Aaron Canfield
- Caring Touch Inc
All providers in Merriam, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.