Active NPI
Shelly M Duke, RN, FNP
- Family Nurse Practitioner
- Overland Park, KS
National Provider Identifier
1225095060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 45319
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200364830A | Medicaid | KS | |
| 36825013 | Other | BCBS | |
| 427616909 | Medicaid | MO |
Other names 1
- Shelly M Killman
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-72612-121 | KS | MD | Registered Nurse |
| 45319 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospital Specialists, P.a. | Past | Accepting new patients |
Interoperability endpoints
- shelly.duke.1@33202.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1013901404
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.