Individual provider Active NPI

Kelli Hummel, PA-C

  • Surgical Physician Assistant
  • North Kansas City, MO
National Provider Identifier
1750912028
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2021037220 Issued in MO
Practice address
1950 Diamond Pkwy
North Kansas City, MO 64116-4328
Phone
(816) 561-3003
NPI assigned
Jan 27, 2020
Last updated
Jan 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2021037220 MO Primary

Addresses

Primary practice location

1950 Diamond Pkwy
North Kansas City, MO 64116-4328

Mailing address

8855 N Congress Ave Apt 311
Kansas City, MO 64153-1881
Phone (816) 825-1268

Other practice location 1

8855 N Congress Ave Apt 311
Kansas City, MO 64153-1881
Phone (816) 825-1268

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
I20211013000647 MO Practitioner - Physician Assistant 9234537853 Reassigns benefits to 1 organization
I20260507002368 KS Practitioner - Physician Assistant 9234537853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Health of Kansas City PCGroup PAC ID 3375508443, 47 clinicians

Practice addresses (Care Compare)

10900 W 86TH St
Lenexa, KS 66214-1634
Phone (816) 561-3003

1950 Diamond Pkwy
Suite 100
Kansas City, MO 64116-4329

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021037220MOMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: orthopedichealthofkansascity.kellihummel@151220.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1750912028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 N CONGRESS AVE APT 311",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531881",
            "telephone_number": "816-825-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641164328",
            "telephone_number": "816-561-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8855 N Congress Ave Apt 311",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641531881",
            "country_code": "US",
            "telephone_number": "816-825-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "KELLI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2021037220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.