Individual provider Active NPI

Rose Mbula Mutunga, FNP

  • Family Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1740541630
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
144900 Issued in KS
Practice address
3500 S 4TH St
Leavenworth, KS 66048-5043
Phone
(913) 680-6000
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 201211955 MO
Family Nurse Practitioner 363LF0000X 144900 KS Primary

Addresses

Primary practice location

3500 S 4TH St
Leavenworth, KS 66048-5043

Mailing address

7912 Colony LN
Lenexa, KS 66215-2715
Phone (913) 424-2446

Other practice location 1

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6122

Other practice location 2

3825 S Noland Rd
Independence, MO 64055-3344
Phone (816) 254-6002

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
I20120703000527 MO Practitioner - Nurse Practitioner 6608031240 Reassigns benefits to 4 organizations
I20130522000429 KS Practitioner - Nurse Practitioner 6608031240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

16082 Metcalf Ave
Overland Park, KS 66085-9249
Phone (913) 660-5365

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.19 of 100Reported as group
Improvement activities
20
Cost
77.93

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as apm
Quality
78.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144900KSMDFamily Nurse Practitioner
201211955MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of KS, PA CurrentSince Oct 1, 2024 Accepting new patients
Eastern Kansas Emergency Physicians, LLC CurrentSince Apr 1, 2022 Accepting new patients
Heartfelt Medical Group LLC CurrentSince Aug 10, 2025 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Sep 25, 2024 Accepting new patients
Liberty Hospital Emergency Medicine Physicians, LLC CurrentSince Nov 15, 2018 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Emergency Medicine Services of Mo, LLC CurrentSince Oct 1, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 28, 2024 Accepting new patients
Bothwell Regional Health Center Current Accepting new patients
Golden Valley Memorial Hospital District Current Accepting new patients
Bothwell Regional Health Center CurrentSince Nov 1, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Sep 25, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 28, 2024 Accepting new patients
Bothwell Regional Health Center CurrentSince Nov 1, 2024 Accepting new patients
Mo Cardinals Emergency Physicians, LLC Past Accepting new patients
Missouri Em-I Medical Services, P.C. Past Accepting new patients
Sheridan Emergency Physician Services of Kansas, PA Past Accepting new patients
New Liberty Hospital Coporation PastSince Nov 17, 2024 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

10810 W 75th St
Shawnee, KS 66214
Phone (913) 660-5365

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

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

16082 Metcalf Ave
Stilwell, KS 66085
Phone (913) 660-5365

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2100 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 282-5175

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

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

Organizations & group practices 18

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.

View all 18

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1740541630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 COLONY LN",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152715",
            "telephone_number": "913-424-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S 4TH ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485043",
            "telephone_number": "913-680-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6122",
            "fax_number": "816-271-6019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 S Noland Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640553344",
            "country_code": "US",
            "telephone_number": "816-254-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTUNGA",
        "first_name": "ROSE",
        "middle_name": "MBULA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "201211955",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "144900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.