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

Kenneth Carroll, RN, NP-C

Individual provider Family Nurse Practitioner · NPI 1699033464

Kenneth Carroll, RN, NP-C is a Nurse Practitioner in Independence, Missouri. Qualified in 2011, 15 years ago. Practices with Carepoint Inpatient Blue Sky Neurology Missouri LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2012
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

15708 E 45th Pl S
Independence, MO 64055-5212
Phone: (816) 726-5492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2012009273 (MO)

Record details

NPI number1699033464
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP-C
Sole proprietorNo
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Carepoint Inpatient Blue Sky Neurology Missouri Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Independence