NPIMap

Individual provider Active NPI

Kelli Eccles, APRN

  • Family Nurse Practitioner
  • Humboldt, KS
National Provider Identifier
1003284449
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76903 Issued in KS
Practice address
1323 Georgia Rd
Humboldt, KS 66748-3000
Phone
(620) 431-2500
Fax
(620) 473-6380
NPI assigned
Sep 2, 2015
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76903 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151019002006 KS Practitioner - Certified Clinical Nurse Specialist (CNS) 1254640097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 9436583275, 10 clinicians

Practice addresses (Care Compare)

101 Lee Ave
Columbus, KS 66725-1021
Phone (620) 429-2134

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76903KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neosho Memorial Regional Medical Center CurrentSince Sep 4, 2015 Accepting new patients
Ashley Clinic, LLC Current Accepting new patients
Southeast Kansas Mental Health Center Current Accepting new patients
Southeast Kansas Mental Health Center Family CurrentSince Feb 3, 2024 Accepting new patients
Preferred Podiatry Group of Kansas LLC CurrentSince Jun 1, 2023 Accepting new patients
Nmrmc Urology Clinic CurrentSince Sep 4, 2015 Accepting new patients
Ashley Clinic, LLC CurrentSince May 15, 2023 Accepting new patients
Ashley Clinic LLC CurrentSince May 15, 2023 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

505 S Plummer Ave
Chanute, KS 66720

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

101 Lee Ave
Columbus, KS 66725
Phone (620) 429-2134

1106 S 9th St
Humboldt, KS 66748
Phone (620) 473-2241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24081/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1003284449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-2500",
            "fax_number": "620-473-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 GEORGIA RD",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667483000",
            "telephone_number": "620-431-2500",
            "fax_number": "620-473-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 S Plummer Ave",
            "address_purpose": "LOCATION",
            "city": "Chanute",
            "state": "KS",
            "postal_code": "667201928",
            "country_code": "US",
            "telephone_number": "620-431-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECCLES",
        "first_name": "KELLI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, KS

Sources for this page

Verify at the official NPI Registry.