Individual provider Active NPI

Dana Leigh Kelly, MSN-FNP

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1629924501
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2026004617 Issued in MO
Practice address
5100 W 110TH St Ste 200
Overland Park, KS 66211-1215
Phone
(913) 934-4300
Fax
(913) 906-2339
NPI assigned
Mar 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2026004617 MO Primary

Addresses

Primary practice location

5100 W 110TH St Ste 200
Overland Park, KS 66211-1215

Mailing address

5100 W 110TH St Ste 200
Overland Park, KS 66211-1215
Phone (913) 934-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260414002480 KS Practitioner - Nurse Practitioner 1456827898 Reassigns benefits to 1 organization
I20260603004519 MO Practitioner - Nurse Practitioner 1456827898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026004617MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart & Vascular Specialists, LLC CurrentSince Jun 1, 2026 Accepting new patients

Locations

5100 W 110th St
Ste 200
Overland Park, KS 66211
Phone (913) 253-3000

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": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1629924501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-934-4300",
            "fax_number": "913-906-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W 110TH ST STE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111215",
            "telephone_number": "913-934-4300",
            "fax_number": "913-906-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DANA",
        "middle_name": "LEIGH",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026004617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.