Jennifer Kelley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

113171 Issued in MO

Practice address

6675 Holmes Rd
Ste 360
Kansas City, MO 64131-1150

Phone

(816) 276-7600

Fax

(816) 276-7992

NPI assigned

Jun 13, 2006

Last updated

Jan 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Creighton University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ability KCGroup PAC ID 0143116368, 166 clinicians

Goppert - Trinity Family Care, LLCGroup PAC ID 8426956681, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Midwest Healthcare at Home Home health agency, Kansas City, MO, CCN 267609
• Research Medical Center Hospital, Kansas City, MO, CCN 260027

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.kelley@hca2.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goppert - Trinity Family Care, LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1922097013
  Medicare reassignment Care Compare group NPD
• Ability KC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kansas City, MO
  • NPI 1598746836
  Care Compare group
• HCA Physician Services

  • General Acute Care Hospital
  • Aventura, FL
  • NPI 1649431388
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arc Therapy Services LLC

  dba HCA Midwest Healthcare at Home

  • Home Health Agency
  • Kansas City, MO
  • NPI 1881729564
  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1710920210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "STE 450",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 HOLMES RD",
            "address_2": "STE 360",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311150",
            "telephone_number": "816-276-7600",
            "fax_number": "816-276-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205208713",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100388320B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JENNIFER.KELLEY@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "6675 Holmes Rd",
            "address_2": "STE 360",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641311150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Kellerman
• Randy Lee Kellerman, CHIROPRACTOR
• Lakeitha D Kelley-Lavan, FNP-C
• Bethany A Kelley, CRNA
• Deletha Yolanda Kelley
• Johanna Eileen Kelley, LCSW, LSCSW
• Kathleen Alverda Kelley, RN
• Katlyn Kelley, APRN
• Patrick Kelley, PHARMD
• Savannah Kelley

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.