Individual provider Active NPI

Danielle Ellis, FNP-C

  • Family Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1720952120
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84757-011 Issued in KS
Practice address
340 Southwest Blvd
Kansas City, KS 66103-2150
Phone
(913) 391-4340
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025040261 MO
Family Nurse Practitioner 363LF0000X 53-84757-011 KS Primary

Addresses

Primary practice location

340 Southwest Blvd
Kansas City, KS 66103-2150

Mailing address

340 Southwest Blvd
Kansas City, KS 66103-2150
Phone (913) 391-4340

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
I20260310004041 KS Practitioner - Nurse Practitioner 5496238214 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)

21 N 12TH St
Suite 300
Kansas City, KS 66102-5105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84757-011KSMDFamily Nurse Practitioner
2025040261MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Turner House Clinic Inc CurrentSince Jan 18, 2026 Accepting new patients
Turner House Clinic Inc CurrentSince Jan 18, 2026 Accepting new patients
Turner House Clinic, Inc Past Accepting new patients

Locations

21 N 12th St
Ste 110
Kansas City, KS 66102
Phone (913) 342-3220

21 N 12th St
Ste 300
Kansas City, KS 66102
Phone (913) 621-0101

340 Southwest Blvd
Kansas City, KS 66103
Phone (913) 722-3100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1720952120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SOUTHWEST BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032150",
            "telephone_number": "913-391-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SOUTHWEST BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032150",
            "telephone_number": "913-391-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025040261",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84757-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.