Individual provider Active NPI

Kristine Ching

  • Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1669292686
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5383209011 Issued in KS
Practice address
12140 Nall Ave Ste 100
Overland Park, KS 66209-2504
Phone
(133) 458-5009
NPI assigned
Oct 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5383209011 KS Primary
Gerontology Nurse Practitioner 363LG0600X 5383209011 KS

Addresses

Primary practice location

12140 Nall Ave Ste 100
Overland Park, KS 66209-2504

Mailing address

12140 Nall Ave Ste 100
Overland Park, KS 66209-2504
Phone (913) 345-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250102000407 KS Practitioner - Nurse Practitioner 5991232092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11661 College Blvd
Suite 100
Overland Park, KS 66210-4107

2000 Health Park Dr
Brentwood, TN 37027-4692

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5383209011KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Statland Medical Group LLC CurrentSince May 18, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Dec 9, 2024 Accepting new patients
Statland Clinic LTD Past Accepting new patients

Locations

605 E Melvin St
Arma, KS 66712
Phone (620) 347-4103

12140 Nall Ave
Ste 100
Overland Park, KS 66209
Phone (913) 451-8500

5701 W 119th St
Ste 330
Overland Park, KS 66209
Phone (913) 345-3650

5701 W 119th St
Ste 240
Overland Park, KS 66209
Phone (816) 333-6000

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

251 E Wilson St
Spring Hill, KS 66083
Phone (913) 592-3100

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1669292686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092504",
            "telephone_number": "913-345-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092504",
            "telephone_number": "133-458-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHING",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5383209011",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "5383209011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.