KENNESHA BAGSBY FNP-C
NPI 1124624143
Nurse Practitioner - Family in Kansas City, MO

Q: What is Kennesha Bagsby's NPI number?

The NPI number for Kennesha Bagsby is 1124624143. It was assigned to this individual provider in the NPPES registry on December 6, 2020.

Q: What is Kennesha Bagsby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kennesha Bagsby was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 06, 2020PECOS Enrolled

330 NE BARRY RD, KANSAS CITY, MO 64155(816) 436-2032 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2021, Jan 18, 2021, Dec 6, 2020 (3 updates tracked since 2020).

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About Kennesha Bagsby Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNESHA BAGSBY FNP-C (NPI 1124624143) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2020039457) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1124624143

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENNESHA BAGSBYCredential: FNP-C

Location Address330 NE BARRY RDKansas City, MO 64155-2724

Mailing Address330 Ne Barry RdKansas City, MO 64155-2724 · (816) 436-2032

Phone(816) 436-2032

Sole ProprietorNo

Enumeration DateDecember 6, 2020

Last NPPES UpdateSeptember 28, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2021

✔ NPI 1124624143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MO · 2020039457✔ Licensed in KS · TMP-159764

330 NE BARRY RD, Kansas City, MO 64155

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Secondary Practice Locations 4

Location 17117 N Prospect AveGladstone, MO 64119-1123 · Phone (816) 691-5050 · Fax (816) 346-7115

Location 2833 SW Lemans LnLees Summit, MO 64082-4618 · Phone (816) 876-0317

Location 35330 NW 64th StKansas City, MO 64151-2414 · Phone (816) 691-3065 · Fax (816) 480-4513

Location 4109 N Blue Jay DrLiberty, MO 64068-1906 · Phone (816) 691-1424 · Fax (816) 480-4511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennesha Bagsby Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAREN K MINOR FNP

Nurse Practitioner (Family)