Active NPI
Kyle B Thomas
- Family Nurse Practitioner
- Maryville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017035516
- Practice address
- 2016 S Main St
Maryville, MO 64468-2655 - Phone
- (660) 562-7999
- Fax
- (660) 562-7996
- NPI assigned
- Oct 18, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2017035516 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2017035516 | MO | Primary |
Addresses
Primary practice location
2016 S Main St
Maryville, MO 64468-2655
Mailing address
2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-7999
Other practice location 1
2790 Clay Edwards Dr Ste 600
Kansas City, MO 64116-3274
Phone (816) 561-3003
Other practice location 2
19550 E 39th St S Ste 410
Independence, MO 64057-2307
Phone (816) 303-2400
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Regional Health Services
Practice addresses (Care Compare)
2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2525
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017035516 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Medical Center - Maryville | Current | Accepting new patients | |
| Orthopedic Health of Kansas City P.C. | Current | Accepting new patients | |
| Mosaic Medical Center - Maryville | Family | Current | Accepting new patients |
| Restore Muscle and Joint, LLC | Current | Accepting new patients | |
| Mosaic Medical Center - Maryville | Past | Accepting new patients |
Locations
19550 E 39th St S
Ste 410
Independence, MO 64057
Phone (816) 303-2400
4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488
2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525
1950 Diamond Pkwy
Ste 100
North Kansas City, MO 64116
Phone (816) 561-3003
2790 Clay Edwards Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 561-3003
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.
-
- Orthopaedic Surgery Physician
- North Kansas City, MO
- NPI 1336188242
-
- Orthopaedic Surgery Physician
- Kansas City, MO
- NPI 1962767061
-
- Psychiatric Hospital Unit
- Maryville, MO
- NPI 1477027803
-
- Rural Health Clinic/Center
- Maryville, MO
- NPI 1821562265
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
-
- Critical Access Hospital
- Albany, MO
- NPI 1306893268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1780195669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 S MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682655",
"telephone_number": "660-562-7999",
"fax_number": "660-562-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 S MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682655",
"telephone_number": "660-562-7999",
"fax_number": "660-562-7996"
}
],
"practiceLocations": [
{
"address_1": "2790 Clay Edwards Dr Ste 600",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641163274",
"country_code": "US",
"telephone_number": "816-561-3003",
"fax_number": "816-889-1584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19550 E 39th St S Ste 410",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640572307",
"country_code": "US",
"telephone_number": "816-303-2400",
"fax_number": "816-303-2484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "KYLE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-18",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2017035516",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017035516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.