Individual provider Active NPI

Karen Mollus, AGACNP-BC

  • Acute Care Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1750730297
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2016012524 Issued in MO
Practice address
2700 Clay Edwards Dr
Suite 120
North Kansas City, MO 64116-3251
Phone
(816) 346-7400
Fax
(816) 346-7104
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2016012524 MO Primary

Addresses

Primary practice location

2700 Clay Edwards Dr
Suite 120
North Kansas City, MO 64116-3251

Mailing address

2700 Clay Edwards Dr
Suite 120
North Kansas City, MO 64116-3251
Phone (816) 346-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016012524MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Organizations & group practices 3

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1750730297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 120",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-346-7400",
            "fax_number": "816-346-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLAY EDWARDS DR",
            "address_2": "SUITE 120",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163251",
            "telephone_number": "816-346-7400",
            "fax_number": "816-346-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLUS",
        "first_name": "KAREN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2016012524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.