Active NPI
Jennifer Leah Carollo, WHNP
- Women's Health Nurse Practitioner
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 2025008123
- Practice address
- 120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000 - Phone
- (816) 251-5780
- Fax
- (816) 251-5781
- NPI assigned
- Mar 15, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2017003020 | MO | |
| Women's Health Nurse Practitioner | 363LW0102X | 2025008123 | MO | Primary |
Addresses
Primary practice location
120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000
Mailing address
120 NE Saint Lukes Blvd FL 3
Lees Summit, MO 64086-1000
Phone (816) 251-5780
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 NE Saint Luke's Blvd
3Rd FL
Lee's Summit, MO 64063-6000
Phone (816) 251-5780
825 Euclid Ave
Kansas City, MO 64124-2323
Phone (816) 474-4920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017003020 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel U. Rodgers Health Center, Inc | Current | Accepting new patients | |
| Samuel U. Rodgers Health Center, Inc. | Current | Accepting new patients | |
| Saint Luke's Physician Group Inc | Past | Accepting new patients |
Locations
825 Euclid Ave
Kansas City, MO 64124
Phone (816) 889-4816
5330 N Oak Trfy
Ste 104
Kansas City, MO 64118
Phone (816) 455-7471
Interoperability endpoints
- jennifer.carollo.p1@direct.rodgershealth.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1578570982
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1326674144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1760282131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NE SAINT LUKES BLVD FL 3",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640861000",
"telephone_number": "816-251-5780",
"fax_number": "816-251-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NE SAINT LUKES BLVD FL 3",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640861000",
"telephone_number": "816-251-5780",
"fax_number": "816-251-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROLLO",
"first_name": "JENNIFER",
"middle_name": "LEAH",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-15",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2017003020",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "2025008123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.