Active NPI
Kelci Noel Couch
- Family Nurse Practitioner
- North Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019040547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013002874 | MO | MD | Emergency Registered Nurse |
| 5379108011 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritas Health Corporation | Current | Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients | |
| Meritas Health Corporation | Past | Accepting new patients | |
| CH Specialty Services Mo LLC | Past | 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.
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1801875091
-
- Neurology Physician
- Kansas City, MO
- NPI 1669323291
-
- Obesity Medicine (Preventive Medicine) Physician
- North Kansas City, MO
- NPI 1922690627
-
- Internal Medicine Physician
- Lees Summit, MO
- NPI 1194422253
-
- Neurology Physician
- North Kansas City, MO
- NPI 1023439833
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1619606159
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Kansas City, MO
- NPI 1629062799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.