Individual provider Active NPI

Kelly M Wemhoff, PA-C

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1699070045
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2018014358 Issued in MO
Practice address
4320 Wornall Rd
Ste 710
Kansas City, MO 64111
Phone
(816) 932-2700
Fax
(816) 932-2705
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1553 NE
Physician Assistant 363A00000X 2018014358 MO Primary

Addresses

Primary practice location

4320 Wornall Rd
Ste 710
Kansas City, MO 64111

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131
Phone (816) 502-7117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20180719002136 MO Practitioner - Physician Assistant 1456618685 Reassigns benefits to 2 organizations
I20231101002332 KS Practitioner - Physician Assistant 1456618685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

11963 S Blackbob Rd
Olathe, KS 66062-1014
Phone (913) 738-1480

12130 S 71 Hwy
Grandview, MO 64030-1129
Phone (816) 780-2330

1215 NE Coronado Dr
Carenow
Blue Springs, MO 64014-2928
Phone (816) 622-3342

1300 E N Ave
Belton, MO 64012-5108
Phone (816) 406-3443

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

15421 W 87TH St
Lenexa, KS 66219-1432
Phone (913) 320-0460

17700 E 39TH St S
Independence, MO 64055-6725
Phone (816) 393-0250

228 NW Oldham Pkwy
Carenow
Lees Summit, MO 64081-1520
Phone (816) 600-4075

4179 Sterling Ave
Kansas City, MO 64133-1348
Phone (816) 780-2870

6930 Mission Rd
Prairie Village, KS 66208-2609
Phone (913) 401-2440

8951 State Line Rd
Kansas City, MO 64114-3231
Phone (913) 305-3167

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1553NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Physician Group Inc Physician Assistant CurrentSince Jul 9, 2018 Accepting new patients
Saint Luke'S Physician Group Inc CurrentSince Jul 9, 2018 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

4320 Wornall Rd
Ste 710
Kansas City, MO 64111
Phone (816) 531-5570

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

5844 NW Barry Rd
Ste 110
Kansas City, MO 64154
Phone (816) 880-6100

601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999

Organizations & group practices 5

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": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1699070045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64131",
            "telephone_number": "816-502-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "STE 710",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-932-2700",
            "fax_number": "816-932-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEMHOFF",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1553",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018014358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.