Delaina Adcox, APRN
Individual provider Active NPI Family Medicine Physician · Kansas City, KS
NPI 1164028239 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1164028239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 53-79757-122 (KS)
- Practice address
- 2400 S 63Rd St
Kansas City, KS 66106-5446 - Phone
- (913) 302-0637
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, 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 |
|---|---|---|---|---|
| I20210225002380 | MO | Practitioner - Nurse Practitioner | 1658786652 | Reassigns benefits to 1 organization |
| I20210226001310 | KS | Practitioner - Nurse Practitioner | 1658786652 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79757-122 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osawatomie State Hospital | Current |
Accepting new patients | |
| Tadros Internal Medicine Consultants, Inc | Current |
Accepting new patients | |
| State of Kansas | Past | Accepting new patients |
Locations
500 State Hospital Dr
Osawatomie, KS 66064
Phone (913) 755-7000
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53-79757-122 | KS | Yes |
Addresses
Primary practice location
2400 S 63Rd St
Kansas City, KS 66106-5446
Mailing address
500 State Hospital Dr
Osawatomie, KS 66064-1813
Phone (913) 755-7000
Other names
- Delaina Dickason
Other providers in Kansas City, KS
- Jamie Adams
- Kaitlyn Renee Mohan Adams
- Katherine Adams
- Kyle Adams
- Taylor Marlene Adams
- Addiction Stress Center
- Emily Katherine Adelman
- Omobolanle Adetimehin
- John A Adib
- Alex Quintin Adkins
All providers in Kansas City, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.