KYLIE IMMETHUN GAUSTAD NP-C
NPI 1487022471
Nurse Practitioner - Family in Kansas City, KS
About Kylie Immethun Gaustad Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLIE IMMETHUN GAUSTAD NP-C (NPI 1487022471) is an individual family provider in Kansas City, Kansas, licensed in Kansas (53-76912-101) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kylie Immethun Gaustad Np-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kylie Gaustad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kansas City, KS 66102
- Reassigned Medicare billing, Kansas enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, KS 66104
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 Kylie Gaustad's NPI number?
The NPI number for Kylie Gaustad is 1487022471. It was assigned to this individual provider in the NPPES registry on September 8, 2015. The provider is also known as Kylie Anne Immethun.
Where is Kylie Gaustad located?
Kylie Gaustad practices at 6013 Leavenworth Rd, Kansas City, KS 66104. The listed phone number is (913) 321-2200.
What is Kylie Gaustad's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kylie Gaustad enrolled in Medicare?
Yes. Kylie Gaustad 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.
Which organization bills Medicare for Kylie Gaustad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Gaustad reassigns Medicare benefits to Swope Health Services (Kansas City, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kylie Gaustad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kylie Gaustad accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Kylie Gaustad 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 Kylie Gaustad affiliated with any hospitals?
According to CMS data, Kylie Gaustad is affiliated with University Of Kansas Hospital.
When was this NPI record last updated?
The NPPES record for Kylie Gaustad was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Kylie Immethun Gaustad, NP-C · NPI 1487022471
Family physician in Kansas City, Kansas. Individual provider, active in the CMS NPPES registry since September 8, 2015.
## Identity
- **NPI:** 1487022471 (Entity type: Individual)
- **Enumerated:** September 8, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-76912-101 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6013 LEAVENWORTH RD, Kansas City, KS 66104-1436
- **Phone:** (913) 321-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Swope Health Services (NPI 1013002765, Kansas City, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487022471) · Data from the CMS NPPES public registry.