Active NPI
Rose Mbula Mutunga, FNP
- Family Nurse Practitioner
- Leavenworth, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 144900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Improvement activities
- 20
- Cost
- 77.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.07 of 100
- Quality
- 78.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 144900 | KS | MD | Family Nurse Practitioner |
| 201211955 | MO | MD | Family Nurse Practitioner |
Practice roles
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.
-
- Multi-Specialty Clinic/Center
- Shawnee, KS
- NPI 1942038427
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
-
- Emergency Medicine Physician
- Kansas City, KS
- NPI 1003561598
-
- Emergency Medicine Physician
- Overland Park, KS
- NPI 1649979451
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
- Emergency Medicine Physician
- Liberty, MO
- NPI 1336646736
-
- Rural Health Clinic/Center
- Sedalia, MO
- NPI 1033487194
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1023715182
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.