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

Tina Marie Legault, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1417602707

Tina Marie Legault, AGNP is a Nurse Practitioner in Overland Park, Kansas. Qualified in 2021, 5 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
5
Licensed in
KS, MO
In the registry since
2022
Specialties on file
3
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

12330 Metcalf Ave Ste 580
Overland Park, KS 66213-1308
Phone: (913) 317-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5380970 (KS)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2022007298 (MO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence TMP-160593 (KS)

Record details

NPI number1417602707
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedFebruary 16, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 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 Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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