Mary Katherine Hawes, DNP, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Kansas City, MO

NPI 1831702174 · NPPES record last updated May 1, 2024

Key facts

NPI
1831702174
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2020016208 (MO)
Practice address
1000 Carondelet Dr Ste 100
Kansas City, MO 64114-4673
Phone
(816) 941-9030
Fax
(816) 941-4416
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, KS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210129001465 MO Practitioner - Nurse Practitioner 2264846468 Reassigns benefits to 2 organizations
I20250212001039 KS Practitioner - Nurse Practitioner 2264846468 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC Current
since Apr 1, 2022
Accepting new patients
Ivxpress Inc Current
since Jan 20, 2025
Accepting new patients
Infusion Express of Kansas LLC Past
since Jan 20, 2025
Accepting new patients

Locations

13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733

13340 Metcalf Ave
Overland Park, KS 66213
Phone (913) 851-2739

22223 W 66th St
Shawnee, KS 66226
Phone (913) 224-0030

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1201 NW Briarcliff Pkwy
Ste 125
Kansas City, MO 64116
Phone (816) 256-5346

1000 Carondelet Dr
Ste 100
Kansas City, MO 64114
Phone (816) 941-9030

3600 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 272-0174

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020016208 MO Yes

Addresses

Primary practice location

1000 Carondelet Dr Ste 100
Kansas City, MO 64114-4673

Mailing address

5434 S Dunrobin Dr
Springfield, MO 65809-4602
Phone (417) 631-8822

Other practice location 1

2303 S Highway 65
Marshall, MO 65340-3734
Phone (660) 886-3364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2024.

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1831702174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 S DUNROBIN DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658094602",
            "telephone_number": "417-631-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARONDELET DR STE 100",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144673",
            "telephone_number": "816-941-9030",
            "fax_number": "816-941-4416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 S Highway 65",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653403734",
            "country_code": "US",
            "telephone_number": "660-886-3364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWES",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020016208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

All providers in Kansas City, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.