Individual provider Active NPI

Kimberlynn Gabrielle Cass, PA

  • Medical Physician Assistant
  • Lenexa, KS
National Provider Identifier
1982295309
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-02669 Issued in KS
Practice address
23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301
Phone
(913) 676-8630
Fax
(913) 676-8635
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2022032222 MO
Medical Physician Assistant 363AM0700X 15-02669 KS Primary

Addresses

Primary practice location

23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301

Mailing address

23351 Prairie Star Pkwy Ste A245
Lenexa, KS 66227-7301
Phone (913) 676-8630

Other names 1

  • Kimberlynn Gabrielle Thomas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20220915000666 MO Practitioner - Physician Assistant 2961887799 Reassigns benefits to 1 organization
I20221101000285 KS Practitioner - Physician Assistant 2961887799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swope Health ServicesGroup PAC ID 5294644530, 51 clinicians

Practice addresses (Care Compare)

17844 E 23Rd St S
Independence, MO 64057-1840
Phone (816) 257-9716

2906 NW Vivion Rd
Riverside, MO 64150-1502
Phone (816) 599-5051

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-02669KSMDMedical Physician Assistant
2022032222MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Medical CurrentSince Dec 1, 2025 Accepting new patients
Swope Health Services CurrentSince Aug 29, 2022 Accepting new patients
Swope Health Services CurrentSince Oct 17, 2022 Accepting new patients
Swope Health Services CurrentSince Aug 29, 2022 Accepting new patients

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

2906 NW Vivion Rd
Riverside, MO 64150
Phone (816) 599-5050

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1982295309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277301",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A245",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277301",
            "telephone_number": "913-676-8630",
            "fax_number": "913-676-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASS",
        "first_name": "KIMBERLYNN",
        "middle_name": "GABRIELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2022032222",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-02669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLYNN",
            "last_name": "THOMAS",
            "middle_name": "GABRIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.