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

Immaculate Kume Ngum, FNP

Individual provider Gerontology Registered Nurse · NPI 1578190062

Immaculate Kume Ngum, FNP is a Nurse Practitioner in Raytown, Missouri. Qualified in 2021, 5 years ago. Practices with Quill Medical Tx, a 5-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
5
Licensed in
KS, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

8219 E 85th Ter
Raytown, MO 64138-3020
Phone: (816) 204-1334
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 80845 (KS)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 23541795 (MO)

Record details

NPI number1578190062
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMarch 24, 2020
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Quill Medical Tx — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount