Individual provider Active NPI

Kelci Noel Couch

  • Family Nurse Practitioner
  • North Kansas City, MO
National Provider Identifier
1326694191
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019040547 Issued in MO
Practice address
2790 Clay Edwards Dr Ste 600
North Kansas City, MO 64116-3274
Phone
(816) 691-5048
Fax
(816) 346-7039
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 2013002874 MO
Family Nurse Practitioner 363LF0000X 5379108011 KS
Family Nurse Practitioner 363LF0000X 2019040547 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 600
North Kansas City, MO 64116-3274

Mailing address

2790 Clay Edwards Dr Ste 600
North Kansas City, MO 64116-3274
Phone (816) 691-5048

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200323000431 KS Practitioner - Nurse Practitioner 3779911953 Reassigns benefits to 1 organization
I20200323001883 MO Practitioner - Nurse Practitioner 3779911953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 600
North Kansas City, MO 64116-3274
Phone (816) 691-5048

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013002874MOMDEmergency Registered Nurse
5379108011KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Jan 24, 2022 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Mar 4, 2020 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation CurrentSince Jan 24, 2022 Accepting new patients
Meritas Health Corporation Past Accepting new patients
Meritas Health Corporation Past Accepting new patients
CH Specialty Services Mo LLC PastSince Mar 1, 2020 Accepting new patients

Locations

12724 State Line Rd
Leawood, KS 66209
Phone (913) 345-8808

4600 College Blvd
Ste 103
Overland Park, KS 66211

6101 W 119th St
Overland Park, KS 66209
Phone (913) 345-9339

11909 Lamar Ave
Shawnee Mission, KS 66209
Phone (913) 308-4168

930 NE Duncan Rd
Blue Springs, MO 64014
Phone (816) 229-6677

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

600 NE Meadowview Dr
Lees Summit, MO 64064
Phone (816) 554-9866

400 SW Longview Blvd
Lees Summit, MO 64081
Phone (816) 761-3944

2790 Clay Edwards Dr
Ste 600
North Kansas City, MO 64116
Phone (816) 561-3003

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1326694191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 600",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163274",
            "telephone_number": "816-691-5048",
            "fax_number": "816-346-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 600",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163274",
            "telephone_number": "816-691-5048",
            "fax_number": "816-346-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "KELCI",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MO",
            "license": "2013002874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5379108011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019040547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.