Individual provider Active NPI

Kayla Ann Ballweg, APRN, NP-C

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1265879258
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75882-122 Issued in KS
Practice address
7100 W 151St St
Overland Park, KS 66223-2232
Phone
(913) 681-3950
NPI assigned
May 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-75882-122 KS Primary

Addresses

Primary practice location

7100 W 151St St
Overland Park, KS 66223-2232

Mailing address

7100 W 151St St
Overland Park, KS 66223-2232
Phone (913) 850-9048

Other practice location 1

7100 W 151st St
Overland Park, KS 66223-2232
Phone (913) 681-3950 ext. 8221

Other names 1

  • Kayla Ann Costello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130906000507 KS Practitioner - Nurse Practitioner 0345483566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

11729 Roe Ave
Leawood, KS 66211-2605
Phone (800) 389-2727

11900 W 135TH St
Overland Park, KS 66221-9400
Phone (800) 389-2727

12290 College Blvd
Overland Park, KS 66210-4049
Phone (800) 389-2727

22700 W 55TH Ter
Shawnee, KS 66226-5602
Phone (800) 389-2727

2300 Iowa St
Lawrence, KS 66046-3938
Phone (800) 389-2727

7100 W 151St St
Overland Park, KS 66223-2232
Phone (800) 389-2727

7501 Metcalf Ave
Overland Park, KS 66204-2927
Phone (800) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-75882-122KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Jun 24, 2013 Accepting new patients
T & J Medical Solutions Corporation CurrentSince Dec 3, 2024 Accepting new patients
Restored Vitality Mobile Wound Care LLC Family CurrentSince Apr 19, 2025 Accepting new patients

Locations

7100 W 151st St
Overland Park, KS 66223
Phone 9136813950 ext. 8221

8833 Bond St
Overland Park, KS 66214
Phone (785) 318-0901

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1265879258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232232",
            "telephone_number": "913-850-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 151ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232232",
            "telephone_number": "913-681-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7100 W 151st St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662232232",
            "country_code": "US",
            "telephone_number": "913-681-3950 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLWEG",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-30",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75882-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "COSTELLO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.