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

Theresa Grace Mangler

Individual provider Family Nurse Practitioner · NPI 1295443943

Theresa Grace Mangler is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2022, 4 years ago. Practices with Medical Group of Kansas City LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
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Practice location Address checks out

120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Phone: (816) 246-4302
Fax: (816) 246-9493
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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 2023006144 (MO)

Record details

NPI number1295443943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2022
Last updated in NPPESJuly 27, 2023
Certification dateJuly 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Group Of Kansas City Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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