Kenneth Carroll, RN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2012009273 Issued in MO

Practice address

15708 E 45TH PL S
Independence, MO 64055-5212

Phone

(816) 726-5492

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carepoint Inpatient Blue Sky Neurology Missouri LLCGroup PAC ID 0941606172, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Merit-based Incentive Payment System (MIPS)

Final score

79.28 of 100Reported as group

Quality

73.83

Improvement activities

40

Cost

45.57

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Carepoint Inpatient Blue Sky Neurology Missouri, LLC

  • Neurology Physician
  • Kansas City, MO
  • NPI 1538733142

  KS

  Medicare reassignment Care Compare group NPD
• Integrated Rehab Consultants LLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1528379195

  MO

  Medicare reassignment
• General Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1811945199
  NPD (past)

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

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1699033464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15708 E. 45TH PL. S.",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555212",
            "telephone_number": "816-726-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 E 45TH PL S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555212",
            "telephone_number": "816-726-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KENNETH",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012009273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Lynn Carpenter, LCSW, LSCSW
• Lauren L Carr, DDS
• Angelique Irene Carroll
• Brandy Louise Carroll, RN
• Danielle A Carroll
• Dejaneara-Jeannette Carter, LMSW
• Cartwright Chiropractic & Acupuncture, P.C.
• Caitlin Carver, COTA/L
• Lora Jean Carver, PHARMD
• Monica A Cass

• Family Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.

Verify at the official NPI Registry.