Stanley Kipkulei, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2020005871 Issued in MO

Practice address

1601 E 28TH St
Trenton, MO 64683-1178

Phone

(660) 359-4487

NPI assigned

Mar 12, 2020

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Central Missouri Mental Health CenterGroup PAC ID 5092766204, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skipkulei@landmarkhealth-direct.org

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.

• North Central Missouri Mental Health Center

  • Community/Behavioral Health Agency
  • Trenton, MO
  • NPI 1730258930

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1497409866

  Single Specialty

  Medicare reassignment NPD
• North Central Missouri Mental Health Center

  • Community/Behavioral Health Agency
  • Trenton, MO
  • NPI 1154863306
  NPD
• Landmark Medical of Tennessee PC

  • General Practice Physician
  • Westbrook, ME
  • NPI 1982310439

  Single Specialty

  NPD

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1962037770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641313774",
            "telephone_number": "913-221-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 28TH ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646831178",
            "telephone_number": "660-359-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10870 Benson Dr Ste 2160",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101509",
            "country_code": "US",
            "telephone_number": "833-357-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11805 Troost Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641313774",
            "country_code": "US",
            "telephone_number": "913-221-2625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9229 Ward Pkwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145471",
            "country_code": "US",
            "telephone_number": "816-319-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPKULEI",
        "first_name": "STANLEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2020005871",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5379195072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loryne D Irvine, LCSW
• J.a. Bowe, M.D., P.C. (Green Hills Medical Clinic)
• David Alan Jennings
• Jerry A Keuhn, DO
• Melissa D. King, RPH.
• Michelle Lynn Kraft, NP
• Brooke A Leamer, MS, PLCP
• Mikaela Ledford, CCC-SLP
• Craig Lewis
• Gregory Lewis

• Psychiatric/Mental Health Nurse Practitioner in Trenton, MO
• Providers in Trenton, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.