TINA MARIE LEGAULT AGNP
NPI 1417602707
Nurse Practitioner - Adult Health in Overland Park, KS

Q: What is Tina Legault's NPI number?

The NPI number for Tina Legault is 1417602707. It was assigned to this individual provider in the NPPES registry on February 16, 2022.

Q: What is Tina Legault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tina Legault was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 16, 2022PECOS EnrolledAccepts Medicare Assignment

77.28/100

CMS Quality Rating

12330 METCALF AVE STE 580, OVERLAND PARK, KS 66213(913) 317-3230 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Feb 16, 2022 (2 updates tracked since 2022).

On this page

About Tina Marie Legault Agnp NPPES

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

TINA MARIE LEGAULT AGNP (NPI 1417602707) is an individual adult health provider in Overland Park, Kansas, licensed in Kansas (5380970) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417602707

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameTINA MARIE LEGAULTCredential: AGNP

Location Address12330 METCALF AVE STE 580Overland Park, KS 66213-1308

Mailing Address901 E 104th St, Mailstop 400sKansas City, MO 64131 · (913) 317-3230

Phone(913) 317-3230

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 16, 2022

Last NPPES UpdateApril 21, 20222 updates tracked since enumeration

NPPES CertifiedApril 21, 2022

✔ NPI 1417602707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in KS · 5380970✔ Licensed in MO · 2022007298✔ Licensed in KS · TMP-160593

12330 METCALF AVE STE 580, Overland Park, KS 66213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina Marie Legault Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406243369

PECOS Enrollment IDI20220422000895, I20220422001084

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

244 services129 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

96 services88 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66213 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.71

Promoting Interoperability

100

Improvement Activities

Cost

50.58

Other Providers at the Same Location NPPES 3

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

DR. DHRUV BANSAL MD

Internal Medicine (Hematology & Oncology)

12330 METCALF AVE STE 580
OVERLAND PARK, KS 66213

Johnson County (186) 932-3300

ROBERT L TALLEY MD

Internal Medicine (Hematology & Oncology)

12330 METCALF AVE STE 580
OVERLAND PARK, KS 66213

Johnson County (913) 317-3230

RACHANA YENDALA MD

Internal Medicine (Hematology & Oncology)

12330 METCALF AVE STE 580
OVERLAND PARK, KS 66213

Johnson County (913) 317-3230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Legault's NPI number?

The NPI number for Tina Legault is 1417602707. It was assigned to this individual provider in the NPPES registry on February 16, 2022.

Where is Tina Legault located?

Tina Legault practices at 12330 Metcalf Ave Ste 580, Overland Park, KS 66213. The listed phone number is (913) 317-3230.

What is Tina Legault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tina Legault enrolled in Medicare?

Yes. Tina Legault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tina Legault accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Tina Legault as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tina Legault affiliated with any hospitals?

According to CMS data, Tina Legault is affiliated with Saint Luke's South Hospital and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Tina Legault was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.