Individual provider Active NPI

Nicolle Marie Gunter, M.D.

  • Hospitalist Physician
  • Overland Park, KS
National Provider Identifier
1811968035
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
04-29722 Issued in KS
Practice address
5701 W 119TH St
Ste. 220
Overland Park, KS 66209-3721
Phone
(913) 498-8787
Fax
(913) 498-1744
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2001013785 MO
Hospitalist Physician 208M00000X 04-29722 KS Primary
Allergy & Immunology Physician 207K00000X 2001013785 MO
Family Medicine Physician 207Q00000X 2001013785 MO
Family Medicine Physician 207Q00000X 04-29722 KS

Addresses

Primary practice location

5701 W 119TH St
Ste. 220
Overland Park, KS 66209-3721

Mailing address

5701 W 119TH St
Ste. 220
Overland Park, KS 66209-3721
Phone (913) 498-8787

Other identifiers 2

IdentifierTypeStateIssuer
200374610AMedicaidKS
205799505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060203000480 KS Practitioner - Family Practice 2163436627 Reassigns benefits to 1 organization
I20101104000997 MO Practitioner - Family Practice 2163436627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Overland Park, KS 66213
Phone (913) 498-8787

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 498-8787

2100 SE Blue Pkwy
Lee'S Summit, MO 64063-1007
Phone (913) 498-8787

4700 Indian Creek Pkwy
Overland Park, KS 66207-4068
Phone (913) 498-8787

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-8787

9100 W 74TH St
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

  • Advanced Home Health and Hospice Kansas City Hospice, Kansas City, MO, CCN 261695
  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
  • Rehabilitation Hospital of Overland Park Inpatient rehabilitation facility, Overland Park, KS, CCN 173032
  • Advanced Health Care of Overland Park Nursing home, Overland Park, KS, CCN 175542

Merit-based Incentive Payment System (MIPS)

Final score
57.27 of 100Reported as group
Quality
44.91
Improvement activities
40
Cost
44.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-29722KSMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Hospitalists, P.a. Hospitalist CurrentSince Dec 19, 2012 Accepting new patients
Metropolitan Pulmonary and Sleep Medicine PC Hospitalist Past Accepting new patients
Midwest Division - MMC, LLC Past Accepting new patients
Midwest Division - LSH, LLC Past Accepting new patients
Ahc of Overland Park LLC Past Accepting new patients
Midwest Division-Oprmc LLC Past Accepting new patients

Locations

13725 Metcalf Ave
Overland Park, KS 66223
Phone (913) 308-6866

7400 W 132nd St
Ste 120
Overland Park, KS 66213

5701 W 119th St
Ste 220
Overland Park, KS 66209
Phone (816) 524-5522

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

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

Interoperability endpoints

  • Direct secure messaging: nicolle.gunter@hca2.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ahc Home Health of Kansas City LLCKansas City, MO, CCN 261695 Hospice Contracted Managing Employee Jun 26, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1811968035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "STE. 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST",
            "address_2": "STE. 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "NICOLLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2001013785",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-29722",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "2001013785",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001013785",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-29722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200374610A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205799505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.