Individual provider Active NPI

Shelby Ann Eaks, AUD

  • Audiologist
  • Overland Park, KS
National Provider Identifier
1629865357
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2532 Issued in KS
Practice address
4550 W 109TH St Ste 310
Overland Park, KS 66211-1309
Phone
(913) 721-3387
Fax
(816) 875-2597
NPI assigned
Apr 24, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2025035831 MO
Audiologist 231H00000X 2532 KS Primary

Addresses

Primary practice location

4550 W 109TH St Ste 310
Overland Park, KS 66211-1309

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (913) 721-3387

Other practice location 1

6815 Frontage Rd Ste A
Overland Park, KS 66204-1555
Phone (913) 721-3387

Other practice location 2

4550 W 109th St Ste 240
Leawood, KS 66211-1309
Phone (913) 721-3387

Other practice location 3

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (816) 478-1008

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Shelby.Brown.1@12752.direct.athenahealth.com Direct
Direct Messaging Address Shelby.Brown.1@12752.direct.athenahealth.com Direct
Direct Messaging Address Shelby.Brown.1@12752.direct.athenahealth.com Direct
Direct Messaging Address Shelby.Brown.1@12752.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250730004563 KS Practitioner - Qualified Audiologist 5698282853 Reassigns benefits to 1 organization
I20250827004891 MO Practitioner - Qualified Audiologist 5698282853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

4550 W 109TH St
Suite 310
Overland Park, KS 66211-1360
Phone (913) 721-3387

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (816) 478-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2532KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Audiologist CurrentSince Jun 16, 2025 Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

5101 College Blvd
Overland Park, KS 66211

4550 W 109th St
Ste 240
Overland Park, KS 66211
Phone (816) 820-8000

4550 W 109th St
Overland Park, KS 66211

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

4550 W 109th St
Ste 310
Overland Park, KS 66211
Phone (816) 531-7373

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

Interoperability endpoints

  • Direct secure messaging: shelby.brown.1@12752.direct.athenahealth.com

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1629865357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 109TH ST STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111309",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Frontage Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662041555",
            "country_code": "US",
            "telephone_number": "913-721-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4550 W 109th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662111309",
            "country_code": "US",
            "telephone_number": "913-721-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4880 NE Goodview Cir",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641996",
            "country_code": "US",
            "telephone_number": "816-478-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAKS",
        "first_name": "SHELBY",
        "middle_name": "ANN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2025035831",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shelby.Brown.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6815 Frontage Rd Ste A",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662041555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shelby.Brown.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 W 109th St Ste 240",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shelby.Brown.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4880 NE Goodview Cir",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640641996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shelby.Brown.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 W 109th St Ste 310",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662111309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.