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

Mrs. Kristina D Cockerill

Individual provider Registered Nurse · NPI 1255001558

Mrs. Kristina D Cockerill is a Nurse Practitioner in Shawnee, Kansas. Qualified in 2021, 5 years ago. Practices with Shawnee Mission Medical Center Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021
Specialties on file
3

Practice location Address checks out

11245 Shawnee Mission Pkwy
Shawnee, KS 66203-3308
Phone: (913) 268-4455
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 80569 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 135794 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255001558
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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 Shawnee Mission Medical Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawnee