Individual provider Active NPI

Kellian R Kelly, APRN, FNP-C

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1083082499
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76919 Issued in KS
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone
(785) 354-6000
Fax
(785) 270-0086
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-76919-092 KS
Nurse Practitioner 363L00000X 76919 KS Primary

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1301

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Other practice location 1

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 270-0047

Other practice location 2

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Other practice location 3

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-5775

Other practice location 4

6725 SW 29th St
Topeka, KS 66614-5625
Phone (785) 270-0047

Other practice location 5

1516 SW 6th Ave
Topeka, KS 66606-1696
Phone (785) 270-0047

Other practice location 6

1516 SW 6th Ave
Topeka, KS 66606-1696
Phone (785) 270-0047

Other practice location 7

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0047

Other identifiers 1

IdentifierTypeStateIssuer
201133480AMedicaidKS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kkelly39592@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address kellian.kelly@direct.lmh.org
Direct Messaging Address kkelly39592@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160527000370 KS Practitioner - Nurse Practitioner 8325338627 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Cotton-O'Neil Clinic Revocable TrustGroup PAC ID 5496659195, 659 clinicians

Practice addresses (Care Compare)

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-3350

9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2000

929 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-4000

Hospital & facility affiliations

  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
  • LMH Hospital, Lawrence, KS, CCN 170137
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76919KSMDNurse Practitioner
53-76919-092KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Rehab Medicine CurrentSince Feb 5, 2017 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 7, 2025 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 27, 2016 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Jan 22, 2025 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Apr 7, 2025 Accepting new patients
Kansas Hospitalist Services PA Nurse Practitioner CurrentSince Jun 15, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 27, 2016 Accepting new patients
Lawrence Physicians LLC CurrentSince Apr 12, 2021 Accepting new patients
Lawrence Physicians LLC CurrentSince Apr 12, 2021 Accepting new patients
Leklan PC Past Accepting new patients

Locations

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

330 Arkansas St
Ste 202
Lawrence, KS 66044
Phone (785) 505-2200

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

1201 Wakarusa Dr
Ste C3
Lawrence, KS 66049
Phone (785) 766-6567

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

929 SW Mulvane St
Topeka, KS 66606
Phone (785) 270-4100

909 SW Mulvane St
Topeka, KS 66606
Phone (785) 357-0301

1516 SW 6th Ave
Topeka, KS 66606
Phone (785) 232-1005

4505 NW Fielding Rd
Topeka, KS 66618
Phone (785) 270-0047

901 SW Garfield Ave
Topeka, KS 66606

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

14800 W Saint Teresa St
Wichita, KS 67235
Phone (316) 268-6976

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

2340 E Meyer Blvd
Ste 346
Kansas City, MO 64132
Phone (816) 943-2819

Interoperability endpoints

  • Direct secure messaging: kkelly1004720@ahs.direct-ci.com
  • Direct secure messaging: kkelly39592@stormontvaildirect.org

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 and National Provider Directory roles.

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": "1773705600000",
    "number": "1083082499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988",
            "fax_number": "785-270-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000",
            "fax_number": "785-270-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 SE Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052189",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-266-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Maine St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441360",
            "country_code": "US",
            "telephone_number": "785-505-5775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6725 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145625",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-478-1508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KELLIAN",
        "middle_name": "R",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-76919-092",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "76919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201133480A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkelly39592@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "909 SW Mulvane St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kellian.kelly@direct.lmh.org",
            "affiliation": "N",
            "address_1": "325 Maine St",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkelly39592@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "909 SW Mulvane St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.