Individual provider Active NPI

Alice Wangui Njoroge, NP

  • Adult Medicine Physician
  • Olathe, KS
National Provider Identifier
1891380655
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
53-79836-122 Issued in KS
Practice address
15967 S Avalon St
Olathe, KS 66062-2500
Phone
(913) 378-6795
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 53-79836-122 KS Primary

Addresses

Primary practice location

15967 S Avalon St
Olathe, KS 66062-2500

Mailing address

15967 S Avalon St
Olathe, KS 66062-2500
Phone (913) 378-6795

Other practice location 1

9100 Park St
Lenexa, KS 66215-3353
Phone (913) 888-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Olathe Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319001013 KS Practitioner - Nurse Practitioner 6002223989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79836-122KSMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Missouri-Kansas LLC CurrentSince Mar 18, 2021 Accepting new patients
CH Specialty Services KS LLC Past Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

9100 Park St
Lenexa, KS 66215
Phone (913) 888-1900

9100 Park St
Ste 280
Lenexa, KS 66215

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

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1891380655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15967 S AVALON ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622500",
            "telephone_number": "913-378-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15967 S AVALON ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622500",
            "telephone_number": "913-378-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9100 Park St",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153353",
            "country_code": "US",
            "telephone_number": "913-888-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NJOROGE",
        "first_name": "ALICE",
        "middle_name": "WANGUI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KS",
            "license": "53-79836-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Olathe",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15967 S Avalon St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660622500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.