Individual provider Active NPI

Delaina Adcox, APRN

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1164028239
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53-79757-122 Issued in KS
Practice address
2400 S 63Rd St
Kansas City, KS 66106-5446
Phone
(913) 302-0637
NPI assigned
Dec 4, 2020
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 53-79757-122 KS Primary

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 1

  • Delaina Dickason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79757-122KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osawatomie State Hospital CurrentSince Sep 20, 2021 Accepting new patients
Tadros Internal Medicine Consultants, Inc CurrentSince Feb 1, 2021 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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1164028239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STATE HOSPITAL DR",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641813",
            "telephone_number": "913-755-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 63RD ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661065446",
            "telephone_number": "913-302-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADCOX",
        "first_name": "DELAINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "53-79757-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DELAINA",
            "last_name": "DICKASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.