Individual provider Active NPI

Antonella Tenerelli

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1639943152
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03217 Issued in KS
Practice address
7840 W 165TH St Ste 330
Overland Park, KS 66223-3021
Phone
(913) 373-0120
Fax
(913) 373-0121
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 15-03217 KS Primary

Addresses

Primary practice location

7840 W 165TH St Ste 330
Overland Park, KS 66223-3021

Mailing address

7840 W 165TH St Ste 330
Overland Park, KS 66223-3021
Phone (913) 373-0120

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
I20260311001208 KS Practitioner - Physician Assistant 2769965441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

9100 W 74TH St
Ahmg Cardiology at Shawnee Mission
Merriam, KS 66204-4004
Phone (913) 676-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15-03217KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince Mar 23, 2026 Accepting new patients

Locations

7840 W 165th St
Ste 330
Overland Park, KS 66223
Phone (913) 373-0120

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

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": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1639943152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-373-0120",
            "fax_number": "913-373-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-373-0120",
            "fax_number": "913-373-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENERELLI",
        "first_name": "ANTONELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.