Individual provider Active NPI

Melinda Sue Gorney, APRN FNP-C

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1689942914
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5375403041 Issued in KS
Practice address
10870 Benson Dr Ste 2160
Overland Park, KS 66210-1509
Phone
(833) 357-3227
Fax
(855) 299-2184
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 5375403041 KS Primary

Addresses

Primary practice location

10870 Benson Dr Ste 2160
Overland Park, KS 66210-1509

Mailing address

801 Locust St
La Crosse, KS 67548-9673
Phone (785) 222-2564

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
I20120130000952 KS Practitioner - Nurse Practitioner 9739346933 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5375403041KSMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mgorney@landmarkhealth-direct.org

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": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1689942914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LOCUST ST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675489673",
            "telephone_number": "785-222-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10870 BENSON DR STE 2160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101509",
            "telephone_number": "833-357-3227",
            "fax_number": "855-299-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNEY",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5375403041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.