Individual provider Active NPI

Christopher Allen Marshall, AGNP

  • Gerontology Nurse Practitioner
  • Leavenworth, KS
National Provider Identifier
1831058726
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-84944-021 Issued in KS
Practice address
4109 Cades CV
Leavenworth, KS 66048-8502
Phone
(913) 683-2172
NPI assigned
Jan 17, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-84944-021 KS Primary

Addresses

Primary practice location

4109 Cades CV
Leavenworth, KS 66048-8502

Mailing address

4109 Cades CV
Leavenworth, KS 66048-8502
Phone (913) 683-2172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260401000139 MO Practitioner - Nurse Practitioner 2062997620 Reassigns benefits to 1 organization
I20260616002906 KS Practitioner - Nurse Practitioner 2062997620 Reassigns benefits to 1 organization

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
Complexcare Medical Group Midwest M PLLC 87 clinicians

Practice addresses (Care Compare)

105 Bernard Dr
Belton, MO 64012-6181
Phone (816) 322-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84944-021KSMDGerontology Nurse Practitioner

Organizations & group practices 2

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": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1831058726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 CADES CV",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660488502",
            "telephone_number": "913-683-2172",
            "fax_number": "913-683-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 CADES CV",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660488502",
            "telephone_number": "913-683-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-84944-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

Verify at the official NPI Registry.