Individual provider Active NPI

Kelly Jones

  • Family Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1437798758
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79104-072 Issued in KS
Practice address
2300 Iowa St
Lawrence, KS 66046
Phone
(866) 389-2727
NPI assigned
Jan 3, 2020
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79104 KS
Family Nurse Practitioner 363LF0000X 53-79104-072 KS Primary

Addresses

Primary practice location

2300 Iowa St
Lawrence, KS 66046

Mailing address

3113 Winston Dr
Lawrence, KS 66049-1714
Phone (785) 979-2713

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
I20200304001547 KS Practitioner - Nurse Practitioner 3779910765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians

Practice addresses (Care Compare)

11729 Roe Ave
Leawood, KS 66211-2605
Phone (800) 389-2727

2300 Iowa St
Lawrence, KS 66046-3938
Phone (800) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79104-072KSMDFamily Nurse Practitioner
79104KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince May 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince May 1, 2023 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince May 16, 2024 Accepting new patients
Urgent Care of Kansas CurrentSince Feb 1, 2022 Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

314 E Main St
Gardner, KS 66030
Phone (913) 938-4726

314 E Main St
Ste G
Gardner, KS 66030

527 W 6th St
Junction City, KS 66441
Phone (785) 530-5823

2300 Iowa St
Lawrence, KS 66046
Phone (785) 209-0156

3511 Clinton Pl
Ste B
Lawrence, KS 66047
Phone (785) 838-1500

11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1437798758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 WINSTON DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491714",
            "telephone_number": "785-979-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 IOWA ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66046",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79104",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79104-072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.