Individual provider Active NPI

Richard Lister, APRN

  • Family Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1740452119
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45635 Issued in KS
Practice address
390 Limit St
Leavenworth, KS 66048-4525
Phone
(913) 651-2323
NPI assigned
Mar 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 45635 KS Primary
Family Nurse Practitioner 363LF0000X 126684 MO

Addresses

Primary practice location

390 Limit St
Leavenworth, KS 66048-4525

Mailing address

390 Limit St
Leavenworth, KS 66048-4525
Phone (913) 651-2323

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081104000175 MO Practitioner - Nurse Practitioner 4587723747 Reassigns benefits to 1 organization
I20090511000500 KS Practitioner - Nurse Practitioner 4587723747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

390 Limit St
Leavenworth, KS 66048-4525
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45635KSMDFamily Nurse Practitioner
126684MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Feb 27, 2025 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 27, 2025 Accepting new patients

Locations

3901 Rainbow Blvd
Stop 4010
Kansas City, KS 66160
Phone (913) 588-1902

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
#4010
Kansas City, KS 66160
Phone (913) 588-1902

11300 Corporate Ave
Lenexa, KS 66219
Phone (913) 574-0600

10720 Nall Ave
Overland Park, KS 66211
Phone (913) 588-8411

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1740452119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LIMIT ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484525",
            "telephone_number": "913-651-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LIMIT ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660484525",
            "telephone_number": "913-651-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "RICHARD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-26",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45635",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "126684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.