Active NPI
Kristen M Wootton, D.O.
- Obstetrics & Gynecology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2000171368
- Practice address
- 4320 Wornall Rd
Medical Plaza I, Ste 336
Kansas City, MO 64111-5941 - Phone
- (816) 932-6100
- NPI assigned
- Oct 19, 2006
- Last updated
- Nov 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 05-30216 | KS | |
| Obstetrics & Gynecology Physician | 207V00000X | 2000171368 | MO | Primary |
Addresses
Primary practice location
4320 Wornall Rd
Medical Plaza I, Ste 336
Kansas City, MO 64111-5941
Mailing address
901 E. 104TH St.
Mailstop 400N
Kansas City, MO 64111-9712
Phone (816) 502-8756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902988199 | Medicaid | MO |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4320 Wornall Rd
Kansas City, MO 64111-5941
Phone (816) 932-2800
4320 Wornall Rd
Suite 336
Kansas City, MO 64111-5963
Phone (816) 932-6100
4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3100
601 S 169 Hwy
Smithville, MO 64089-9317
Phone (816) 532-3700
601 S US Hwy 169
Smithville, MO 64089-9317
Phone (816) 532-3999
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-30216 | KS | MD | Obstetrics & Gynecology Physician |
| 2000171368 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke's Physician Group Inc | Current | Accepting new patients | |
| St Lukes Hospital of Kansas City | Past | Accepting new patients | |
| Shawnee Mission Medical Center | Past | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
4320 Wornall Rd
Ste 336
Kansas City, MO 64111
Phone (816) 932-6100
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
- kwootton5274@direct.saint-lukes.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Bishop Spencer Place Inc | Skilled nursing facility | Corporate Director Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Kansas City, MO
- NPI 1629076872
Corporate Director, Operational/Managerial Control
Organizations & group practices 4
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.
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba SMMC Emergency Physicians
- Emergency Medical Services (Emergency Medicine) Physician
- Shawnee Mission, KS
- NPI 1598970790
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Obstetrics & Gynecology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Luke's Hospital of Kansas City
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
-
dba Crittenton Children's Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
-
dba Saint Luke's Hospital Infusion Center at Liberty
- General Acute Care Hospital
- Liberty, MO
- NPI 1275926198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1902988199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E. 104TH ST.",
"address_2": "MAILSTOP 400N",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641119712",
"telephone_number": "816-502-8756",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WORNALL RD",
"address_2": "MEDICAL PLAZA I, STE 336",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641115941",
"telephone_number": "816-932-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTTON",
"first_name": "KRISTEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "05-30216",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2000171368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902988199",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
- David A Wooldridge, MD
- Georgia K Woolery, RRT
- Gerald Woolsey, D.D.S.
- Morgan L Woolsey, AA
- James Michael Wooten, PHARM.D.
- Words Matter Speech Therapy LLC
- Working Class Wellness, LLC (Working Class Wellness)
- Savannah Ann Workman, OTD, OTR/L
- World Connection LLC (That One Language Company)
- Cole M Worley, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.