Individual provider Active NPI

Jill Elizabeth Gardner-Lollas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1316807928
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-84897-051 Issued in KS
Practice address
8005 W 110TH St Ste 204
Overland Park, KS 66210-2619
Phone
(913) 333-2983
NPI assigned
Nov 15, 2025
Last updated
Nov 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-84897-051 KS Primary

Addresses

Primary practice location

8005 W 110TH St Ste 204
Overland Park, KS 66210-2619

Mailing address

8005 W 110TH St Ste 204
Overland Park, KS 66210-2619
Phone (913) 333-2983

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
I20260415002282 KS Practitioner - Nurse Practitioner 9335615681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8005 W 110TH St
Suite 204
Overland Park, KS 66210-2619

99 Rochester Ave
East Atlantic Beach, NY 11561-1032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84897-051KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Gardner-Lollas LLC Psychiatric/Mental Health Current Accepting new patients

Locations

8005 W 110th St
Ste 204
Overland Park, KS 66210
Phone (816) 450-5879

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": "1763164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1316807928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 W 110TH ST STE 204",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102619",
            "telephone_number": "913-333-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 W 110TH ST STE 204",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102619",
            "telephone_number": "913-333-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER-LOLLAS",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-15",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-84897-051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.