Individual provider Active NPI

Krystene Wray, WHNP-BC

  • Women's Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1992446751
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2021041119 Issued in MO
Practice address
5701 W 119TH St Ste 225
Overland Park, KS 66209-3721
Phone
(913) 601-4020
Fax
(913) 601-4022
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2021041119 MO Primary

Addresses

Primary practice location

5701 W 119TH St Ste 225
Overland Park, KS 66209-3721

Mailing address

4400 Broadway Blvd Ste 302
Kansas City, MO 64111-3342
Phone (816) 931-9344

Other practice location 1

20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone (816) 282-7809

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
I20221013000739 MO Practitioner - Nurse Practitioner 6709252935 Reassigns benefits to 3 organizations
I20251208002584 KS Practitioner - Nurse Practitioner 6709252935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Group LLCGroup PAC ID 8123503901, 20 clinicians

Practice addresses (Care Compare)

20 NE Saint Lukes Blvd
310 Rockhill Women'S Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809

5701 W 119TH St
225 Rockhill Women'S Care
Overland Park, KS 66209-3721
Phone (913) 601-4020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ferns, Matile, Perryman & Moore, M.D.'S, P.a. CurrentSince Jun 1, 2022 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Shawnee Mission Medical Center Inc CurrentSince Dec 15, 2025 Accepting new patients

Locations

7301 E Frontage Rd
Ste 100
Merriam, KS 66204
Phone (913) 384-4040

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

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

4400 Broadway Blvd
Ste 302
Kansas City, MO 64111
Phone (816) 756-5047

20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1992446751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY BLVD STE 302",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113342",
            "telephone_number": "816-931-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 119TH ST STE 225",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093721",
            "telephone_number": "913-601-4020",
            "fax_number": "913-601-4022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 NE Saint Lukes Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866001",
            "country_code": "US",
            "telephone_number": "816-282-7809",
            "fax_number": "816-282-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRAY",
        "first_name": "KRYSTENE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2021041119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.