Individual provider Active NPI

Melissa Renee Laycock, APRN FNP-BC

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1487952966
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-75610-111 Issued in KS
Practice address
13851 W 63Rd St.
PMB# 186
Shawnee, KS 66216-3800
Phone
(816) 665-6084
Fax
(816) 337-3827
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2026

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 53-75610-111 KS Primary
Family Nurse Practitioner 363LF0000X 2011006215 MO

Addresses

Primary practice location

13851 W 63Rd St.
PMB# 186
Shawnee, KS 66216-3800

Mailing address

13851 W 63Rd St.
PMB#186
Shawnee, KS 66216-3800
Phone (816) 665-6084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-75610-111KSMDFamily Nurse Practitioner
2011006215MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Medical Center, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1487952966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 W 63RD ST.",
            "address_2": "PMB#186",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163800",
            "telephone_number": "816-665-6084",
            "fax_number": "816-337-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 W 63RD ST.",
            "address_2": "PMB# 186",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662163800",
            "telephone_number": "816-665-6084",
            "fax_number": "816-337-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYCOCK",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75610-111",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011006215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.