NPIMap

Organization Active NPI

Mokscare Family Medicine

  • Psychiatric/Mental Health Nurse Practitioner
  • Lenexa, KS
National Provider Identifier
1952032054
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOKSCARE FAMILY MEDICINE
Practice address
7721 Quivira Rd
Lenexa, KS 66216-3401
Phone
(913) 248-2838
NPI assigned
Jun 20, 2022
Last updated
Apr 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Neema Titus Mshana
Title
Office Manager
Phone
(913) 706-2508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

7721 Quivira Rd
Lenexa, KS 66216-3401

Mailing address

7721 Quivira Rd
Lenexa, KS 66216-3401
Phone (913) 248-2838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20221212000613 KS Part B Supplier - Clinic/Group Practice 2961871108 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
Practice locations: Lenexa, KS; Shawnee, KS
O20250319000325 MO Part B Supplier - Clinic/Group Practice 2961871108 Receives reassigned benefits from 2 practitioners
Practice locations: Kansas City, MO
O20250710003175 NM Part B Supplier - Clinic/Group Practice 2961871108 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mokscare Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1580 N Logan St
Denver, CO 80203
Phone (720) 263-0464

7721 Quivira Rd
Shawnee, KS 66216
Phone (913) 248-2838

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1952032054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662163401",
            "telephone_number": "913-248-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662163401",
            "telephone_number": "913-248-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOKSCARE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MSHANA",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_middle_name": "TITUS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-706-2508"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.