Individual provider Active NPI

Mary Kristin Davis Bimeal, FNP

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1932510195
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76240-052 Issued in KS
Practice address
9800 Troup Ave
Kansas City, KS 66111-1870
Phone
(913) 297-7472
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76240-052 KS Primary

Addresses

Primary practice location

9800 Troup Ave
Kansas City, KS 66111-1870

Mailing address

1035 Firetree Ave
Baldwin City, KS 66006-4173
Phone (785) 317-2986

Other names 1

  • Mary Kristin Davis Former name

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
I20140616001769 KS Practitioner - Nurse Practitioner 3173747060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

11729 Roe Ave
Leawood, KS 66211-2605
Phone (800) 389-2727

11900 W 135TH St
Overland Park, KS 66221-9400
Phone (800) 389-2727

12290 College Blvd
Overland Park, KS 66210-4049
Phone (800) 389-2727

22700 W 55TH Ter
Shawnee, KS 66226-5602
Phone (800) 389-2727

2300 Iowa St
Lawrence, KS 66046-3938
Phone (800) 389-2727

7501 Metcalf Ave
Overland Park, KS 66204-2927
Phone (800) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-76240-052KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T & J Medical Solutions Corporation CurrentSince Dec 3, 2024 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince May 30, 2014 Accepting new patients
Restored Vitality Mobile Wound Care LLC Family CurrentSince May 8, 2025 Accepting new patients

Locations

18351 W 119th St
Olathe, KS 66061
Phone (913) 393-7325

8833 Bond St
Overland Park, KS 66214
Phone (785) 318-0901

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1932510195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 FIRETREE AVE",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660064173",
            "telephone_number": "785-317-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 TROUP AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111870",
            "telephone_number": "913-297-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS BIMEAL",
        "first_name": "MARY",
        "middle_name": "KRISTIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76240-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DAVIS",
            "middle_name": "KRISTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.