Individual provider Active NPI

Kirstyn Lanae Lafrenz, FNP

  • Family Nurse Practitioner
  • Excelsior Springs, MO
National Provider Identifier
1710715495
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024003457 Issued in MO
Practice address
1645 Kearney Rd
Excelsior Springs, MO 64024-1753
Phone
(816) 637-2050
NPI assigned
Jul 23, 2024
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024003457 MO Primary

Addresses

Primary practice location

1645 Kearney Rd
Excelsior Springs, MO 64024-1753

Mailing address

13326 Mockingbird LN
Excelsior Springs, MO 64024-7250
Phone (816) 853-8579

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240911004540 MO Practitioner - Nurse Practitioner 8527508985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelsior Springs City HospitalGroup PAC ID 7315847209, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024003457MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital CurrentSince Jul 21, 2025 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Aug 22, 2024 Accepting new patients
Excelsior Springs Physician Clinic LLC PastSince Aug 10, 2025 Accepting new patients

Locations

1645 Kearney Rd
Excelsior Springs, MO 64024
Phone (816) 634-2050

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

3351 SW 3rd St
Lees Summit, MO 64081
Phone (816) 966-1455

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1710715495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13326 MOCKINGBIRD LN",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640247250",
            "telephone_number": "816-853-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 KEARNEY RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241753",
            "telephone_number": "816-637-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRENZ",
        "first_name": "KIRSTYN",
        "middle_name": "LANAE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024003457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.