MEDICARE: CHRISTINA M. KERNS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	0438320	KS
2	363LF0000X	Family Nurse Practitioner	77188	KS
3	363LF0000X	Family Nurse Practitioner	2025042954	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417353343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA M. KERNS FNP

Provider Business Mailing Address
First Line	:	2800 CLAY EDWARDS DR
Second Line	:	CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3220
Country	:	US
Telephone Number	:	816-691-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR STE 1235
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3276
Country	:	US
Telephone Number	:	816-472-5157
Fax Number	:	816-472-7201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	04/07/2026

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1154303832 — DAVID R HOCKMUTH M.D.
Practice Location Address:

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Directions to “ CHRISTINA M. KERNS FNP” Practice Location

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