Kelli Eccles, APRN
Individual provider Active NPI Family Nurse Practitioner · Humboldt, KS
NPI 1003284449 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1003284449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 76903 (KS)
- Practice address
- 1323 Georgia Rd
Humboldt, KS 66748-3000 - Phone
- (620) 431-2500
- Fax
- (620) 473-6380
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Podiatry Group of Kansas LLC
Practice addresses (Care Compare)
101 Lee Ave
Columbus, KS 66725-1021
Phone (620) 429-2134
Hospital & facility affiliations
- Neosho Memorial Regional Medical Center
- Allen County Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151019002006 | KS | Practitioner - Certified Clinical Nurse Specialist (CNS) | 1254640097 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76903 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Kansas Mental Health Center | Current | Accepting new patients | |
| Preferred Podiatry Group of Kansas LLC | Current |
Accepting new patients | |
| Ashley Clinic, LLC | Current | Accepting new patients | |
| Ashley Clinic, LLC | Current |
Accepting new patients | |
| Nmrmc Urology Clinic | Current |
Accepting new patients | |
| Ashley Clinic LLC | Current |
Accepting new patients | |
| Southeast Kansas Mental Health Center | Family | Current |
Accepting new patients |
| Neosho Memorial Regional Medical Center | Current |
Accepting new patients | |
| Pawnee Mental Health Service, Inc. | Past | Accepting new patients |
Locations
629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000
505 S Plummer Ave
Chanute, KS 66720
101 Lee Ave
Columbus, KS 66725
Phone (620) 429-2134
1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
- https://api.platform.athenahealth.com/24081/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 76903 | KS | Yes |
Addresses
Primary practice location
1323 Georgia Rd
Humboldt, KS 66748-3000
Mailing address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-2500
Other practice location 1
629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76903 | Other | KS | STATE LICENSE |
Other providers in Humboldt, KS
- Ashley Building Corporation
- Ashley Clinic LLC
- Lori D Bancroft
- Community Health Center of Southeast Kansas, Inc
- Community Health Center of Southeast Kansas, Inc.
- Florida Senior Housing Council, Inc.
- Elizabeth Garton
- Moriah Marie Haigler
- Mark E Harms
- Cody Haviland
All providers in Humboldt, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.