Shelley A. Watts, APRN FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2000163262 Issued in MO

Practice address

5721 W 119TH St
Overland Park, KS 66209-3722

Phone

(913) 498-8787

Fax

(913) 498-1744

NPI assigned

Mar 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KC Hospitalists PAGroup PAC ID 2860635117, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• Kansas City Orthopaedic Institute Hospital, Leawood, KS, CCN 170188
• St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
• Miami County Medical Center Hospital, Paola, KS, CCN 170109

Merit-based Incentive Payment System (MIPS)

Final score

57.27 of 100Reported as group

Quality

44.91

Improvement activities

40

Cost

44.15

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• KC Hospitalists, P.a.

  • Hospitalist Physician
  • Overland Park, KS
  • NPI 1922348069

  MO

  Medicare reassignment Care Compare group NPD

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

• Kansas City Orthopaedic Institute LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1457364408
  Care Compare affiliation
• Miami County Medical Center Inc

  • General Acute Care Hospital
  • Paola, KS
  • NPI 1700824398
  Care Compare affiliation
• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation
• Prime Healthcare Services - Kansas City, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  Care Compare affiliation

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1194996892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 METCALF AVE # 403",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662237899",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662093722",
            "telephone_number": "913-498-8787",
            "fax_number": "913-498-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "SHELLEY",
        "middle_name": "A.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-74929-072",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2000163262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200549940B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "53-74929-072",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Charles Watt, NP
• Dale Douglas Watts II II, DDS
• Amber Nichelle Watts, CNM
• George Watts
• Shelley Watts
• Vohn Watts, D.C.
• Herbert Joseph Waxman, M.D.
• Nancy R Waxman, MD
• Linda Jean Waxse, LCPC
• Kaitlin Way, CPTA

• Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.