Individual provider Active NPI

Cameron G Gueldner, PA-C

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1417713181
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1503105 Issued in KS
Practice address
10701 Nall Ave Ste 100
Overland Park, KS 66211-1244
Phone
(913) 338-5585
Fax
(913) 338-3228
NPI assigned
Feb 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1503105 KS Primary

Addresses

Primary practice location

10701 Nall Ave Ste 100
Overland Park, KS 66211-1244

Mailing address

10701 Nall Ave Ste 100
Overland Park, KS 66211-1244
Phone (913) 338-5585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA, MO, KS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240403001058 NE Practitioner - Physician Assistant 1759729247 Reassigns benefits to 1 organization
I20240403001126 IA Practitioner - Physician Assistant 1759729247 Reassigns benefits to 1 organization
I20250819000964 MO Practitioner - Physician Assistant 1759729247 Reassigns benefits to 1 organization
I20250819001153 KS Practitioner - Physician Assistant 1759729247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Creighton University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

8551 Bluejacket St
Overland Park, KS 66214-1656

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3057NEMDOccupational Therapist
1503105KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Physician Assistant CurrentSince Apr 16, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Apr 16, 2024 Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040

2771 Solution Ctr
Chicago, IL 60677

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

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.

Hospital & facility affiliations 5

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": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1417713181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111244",
            "telephone_number": "913-338-5585",
            "fax_number": "913-338-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111244",
            "telephone_number": "913-338-5585",
            "fax_number": "913-338-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUELDNER",
        "first_name": "CAMERON",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1503105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.