Individual provider Active NPI

Sydney Edmisten, MD

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
National Provider Identifier
1881272839
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-51735 Issued in KS
Practice address
9119 W 74TH St Ste 300
Shawnee Mission, KS 66204-2229
Phone
(913) 677-3113
Fax
(913) 677-4514
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 04-51735 KS Primary

Addresses

Primary practice location

9119 W 74TH St Ste 300
Shawnee Mission, KS 66204-2229

Mailing address

6240 Oak Grove Rd
Kansas City, KS 66106-5430
Phone (913) 991-4998

Other practice location 1

5401 College Blvd Ste 100
Leawood, KS 66211-1617
Phone (913) 677-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251020000881 KS Practitioner - Obstetrics/Gynecology 7214330414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Services LLCGroup PAC ID 1658500962, 39 clinicians

Practice addresses (Care Compare)

9119 W 74TH St
300 Womens Health Associates
Shawnee Mission, KS 66204-2229
Phone (913) 677-3113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Physician Services Single Specialty CurrentSince Sep 3, 2025 Accepting new patients
Womens Care Single Specialty Past Accepting new patients

Locations

5401 College Blvd
Ste 100
Leawood, KS 66211
Phone (913) 677-3113

8801 Monrovia St
Ste 200
Lenexa, KS 66215

9119 W 74th St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 677-3113

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1881272839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 OAK GROVE RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661065430",
            "telephone_number": "913-991-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST STE 300",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042229",
            "telephone_number": "913-677-3113",
            "fax_number": "913-677-4514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 College Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111617",
            "country_code": "US",
            "telephone_number": "913-677-3113",
            "fax_number": "913-677-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMISTEN",
        "first_name": "SYDNEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-51735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.