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

Kylie Immethun Gaustad, NP-C

Individual provider Family Nurse Practitioner · NPI 1487022471

Kylie Immethun Gaustad, NP-C is a Nurse Practitioner in Kansas City, Kansas. Qualified in 2015, 11 years ago. Practices with Swope Health Services, a 51-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
11
Licensed in
KS
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

6013 Leavenworth Rd
Kansas City, KS 66104-1436
Phone: (913) 321-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4835 State Ave, Kansas City, KS 66102-1747 — (816) 599-5020
  • 21 N 12th St Ste 400, Kansas City, KS 66102-5172 — (816) 599-5111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-76912-101 (KS)

Record details

NPI number1487022471
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2015
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Swope Health Services — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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