Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLIE IMMETHUN GAUSTAD NP-C
NPI 1487022471
Nurse Practitioner - Family in Kansas City, KS

Q: 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.

Q: What is Kylie Gaustad'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 Kylie Gaustad was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 08, 2015PECOS Enrolled

6013 LEAVENWORTH RD, KANSAS CITY, KS 66104(913) 321-2200 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, May 27, 2026, Apr 24, 2026 and 17 more (20 updates tracked since 2024).

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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

NPI1487022471

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKYLIE IMMETHUN GAUSTADCredential: NP-C

Location Address6013 LEAVENWORTH RDKansas City, KS 66104-1436

Mailing Address3801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · (816) 923-5800 · Fax (816) 922-1070

Phone(913) 321-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 8, 2015

Last NPPES UpdateJuly 29, 202620 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1487022471 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

License✔ Licensed in KS · 53-76912-101

6013 LEAVENWORTH RD, Kansas City, KS 66104

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Other Names 1

Former Name (1)Kylie Anne Immethun

Secondary Practice Locations 2

Location 14835 State AveKansas City, KS 66102-1747 · Phone (816) 599-5020

Location 221 N 12th St Ste 400Kansas City, KS 66102-5172 · Phone (816) 599-5111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

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.

PECOS PAC ID6204139025

PECOS Enrollment IDI20160210001928

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.

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, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Physician 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.

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.

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.

GUILLERMO COUCHONNAL MD, LLC

Internal Medicine (Infectious Disease)