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

Dr. Kristian Ashtin De Nagel, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1922634039

Dr. Kristian Ashtin De Nagel, MD is a Sports Medicine in Lees Summit, Missouri. Qualified in 2020, 6 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Kentucky.

Years since qualifying
6
Licensed in
AR, KY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 NW Murray Rd Ste 201
Lees Summit, MO 64081-1227
Phone: (816) 524-2626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 E Gray St Ste 604, Louisville, KY 40202-3902 — (502) 629-5633

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 61156 (KY)
Adult Medicine Physician Taxonomy 207QA0505X · Licence E-16196 (AR)

Record details

NPI number1922634039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2020
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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