Stacie Irene Kelly, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

76535 Issued in KS

Practice address

10500 Quivira Rd
Overland Park, KS 66215-2306

Phone

(913) 541-5340

NPI assigned

Sep 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Emergency Medicine LLCGroup PAC ID 3971037565, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Kansas City, MO, CCN 260085
• St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

72.61

Promoting interoperability

100

Improvement activities

30

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.

• Omni Emergency Medicine LLC

  • Emergency Medicine Physician
  • Blue Springs, MO
  • NPI 1225871163
  Medicare reassignment Care Compare group NPD
• Adventhealth Ransom Memorial, Inc.

  • Family Medicine Physician
  • Ottawa, KS
  • NPI 1407319957
  Medicare reassignment NPD
• Emergency Medicine Services of KS, PA

  • Emergency Medicine Physician
  • Overland Park, KS
  • NPI 1649979451
  Medicare reassignment NPD
• Missouri Emergency Medicine LLC

  • Emergency Medicine Physician
  • Harrisonville, MO
  • NPI 1053105890
  Medicare reassignment NPD
• Adventhealth Ransom Memorial, Inc.

  • Rural Health Clinic/Center
  • Ottawa, KS
  • NPI 1558824805
  NPD
• Medevac Midamerica Inc

  • Ambulance
  • Kansas City, KS
  • NPI 1306871215
  NPD (past)
• Missouri Em-I Medical Services, P.C.

  • Nurse Practitioner
  • Saint Louis, MO
  • NPI 1528008976
  NPD (past)
• Mo Cardinals Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1124454442
  NPD (past)

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

• Prime Healthcare Services - Kansas City, LLC

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1528463080
  Care Compare affiliation
• Prime Healthcare Services Blue Springs, LLC

  • General Acute Care Hospital
  • Blue Springs, MO
  • NPI 1912303579
  Care Compare affiliation

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1326449687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18471 S CHERRY ST",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660308106",
            "telephone_number": "913-948-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152306",
            "telephone_number": "913-541-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STACIE",
        "middle_name": "IRENE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra Joyce Kelly, LCSW
• Catherina Annette Kelly, LSCSW
• Dana Leigh Kelly, MSN-FNP
• Janet Kay Kelly, OTR
• Katie Blair Kelly, MPT
• Sylvia Kelly
• Tammy J Kemp, LMSW
• Christine Kemplay, PTA
• Curtis Ellis Kempton Jr., D.P.T.
• Kenai Dialysis LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.