Individual provider Active NPI

Shelly M Duke, RN, FNP

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1225095060
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45319 Issued in KS
Practice address
21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210
Phone
(833) 357-3227
NPI assigned
Apr 26, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14-72612-121 KS
Nurse Practitioner 363L00000X 45319 KS
Nurse Practitioner 363L00000X 139284 MO
Family Nurse Practitioner 363LF0000X 45319 KS Primary
Registered Nurse 163W00000X 139284 MO

Addresses

Primary practice location

21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210

Mailing address

5525 Research Park Dr
4TH Floor
Baltimore, MD 21228-4873
Phone (913) 945-2080

Other practice location 1

9229 Ward Pkwy Ste 380
Kansas City, MO 64114-5471
Phone (816) 319-4785

Other practice location 2

13800 Metcalf Ave
Overland Park, KS 66223-1200
Phone (913) 945-2080

Other identifiers 3

IdentifierTypeStateIssuer
200364830AMedicaidKS
36825013OtherBCBS
427616909MedicaidMO

Other names 1

  • Shelly M Killman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250502001472 WA Order and Referring Only - Nurse Practitioner 3173537537

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-72612-121KSMDRegistered Nurse
45319KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospital Specialists, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shelly.duke.1@33202.direct.athenahealth.com
  • Direct secure messaging: sduke@landmarkhealth-direct.org

Organizations & group practices 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1225095060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 RESEARCH PARK DR",
            "address_2": "4TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212284873",
            "telephone_number": "913-945-2080",
            "fax_number": "913-945-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CORPORATE WOODS, 10870 BENSON DRIVE #2160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "833-357-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Ward Pkwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145471",
            "country_code": "US",
            "telephone_number": "816-319-4785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13800 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662231200",
            "country_code": "US",
            "telephone_number": "913-945-2080",
            "fax_number": "913-945-2095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "SHELLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-72612-121",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45319",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "139284",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45319",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "139284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200364830A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36825013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427616909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "KILLMAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.