Kenny Chrysostome
NPI 1407569817ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Kansas City, KS
Nurse Practitioner, Psych/Mental Health in Kansas City, Kansas, licensed in KS, PA, GA and ME and other states, with an NPI issued in December 2022. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1407569817 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 30, 2022 |
| Last updated in NPPES | Aug 11, 2026 |
| Certified by provider | Aug 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 5385388081 | KS |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | SP035653 | PA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | NP004147 | GA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | CNP251894 | ME |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 71017854A | IN |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | APRN11042205 | FL |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 0041464 | OH |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 2026018306 | MO |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 209035574 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN); Practitioner - Nurse Practitioner (KS); Practitioner - Nurse Practitioner (ME); Practitioner - Nurse Practitioner (MO); Practitioner - Nurse Practitioner (OH) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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