Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Marie Pettus, DNP

Individual provider Gerontology Nurse Practitioner · NPI 1336873371

Angela Marie Pettus, DNP is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2022, 4 years ago. Practices with Kc Diabetes and Endocrinology PA, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
4
Licensed in
KS, MO
In the registry since
2022
Specialties on file
6
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

4125 State Line Rd
Kansas City, MO 64111-4423
Phone: (913) 284-1889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Carondelet Dr # 201b, Kansas City, MO 64114-4673 — (913) 956-2551

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-81365-091 (KS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 53-81365-091 (KS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2022028087 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2022028087 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2022028087 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 53-81365-091 (KS)

Record details

NPI number1336873371
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kc Diabetes And Endocrinology Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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