Active NPI
Kristi Cook
- Surgical Physician Assistant
- North Kansas City, MO
National Provider Identifier
1871325068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2026006824
- Practice address
- 2790 Clay Edwards Dr Ste 530
North Kansas City, MO 64116-3266 - Phone
- (816) 452-3300
- Fax
- (816) 453-0677
- NPI assigned
- Aug 15, 2024
- Last updated
- Apr 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Surgical Physician Assistant | 363AS0400X | 2026006824 | MO | Primary |
Addresses
Primary practice location
2790 Clay Edwards Dr Ste 530
North Kansas City, MO 64116-3266
Mailing address
2800 Clay Edwards Drive
Central
North Kansas City, MO 64116
Phone (816) 452-3300
Other practice location 1
720 Vattier St
Manhattan, KS 66502-5748
Phone (970) 571-0512
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
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2790 Clay Edwards Dr
Suite 530
North Kansas City, MO 64116-3266
Phone (816) 452-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026006824 | MO | MD | Surgical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1871325068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 CLAY EDWARDS DRIVE",
"address_2": "CENTRAL",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "64116",
"telephone_number": "816-452-3300",
"fax_number": "816-453-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR STE 530",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163266",
"telephone_number": "816-452-3300",
"fax_number": "816-453-0677"
}
],
"practiceLocations": [
{
"address_1": "720 Vattier St",
"address_purpose": "LOCATION",
"city": "Manhattan",
"state": "KS",
"postal_code": "665025748",
"country_code": "US",
"telephone_number": "970-571-0512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "KRISTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-15",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MO",
"license": "2026006824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.