Active NPI
Jessie L Lycans, AUD
- Audiologist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2537
- Practice address
- 6650 W 110TH St Ste 330
Overland Park, KS 66211-1798 - Phone
- (913) 521-9090
- Fax
- (913) 521-9955
- NPI assigned
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2537 | KS | Primary |
| Hearing Instrument Specialist | 237700000X | 2037 | KS | |
| Audiologist | 231H00000X | 2025054307 | MO |
Addresses
Primary practice location
6650 W 110TH St Ste 330
Overland Park, KS 66211-1798
Mailing address
9513 W 54TH St
Merriam, KS 66203-2037
Phone (304) 654-0028
Other practice location 1
8640 N Green Hills Rd Ste 43
Kansas City, MO 64154-1903
Phone (816) 800-8020
Other practice location 2
458 NE 291 Hwy
Lees Summit, MO 64086-2501
Phone (816) 507-8885
Other names 1
- Jessie Kingrey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
458 NE 291 Hwy
Lees Summit, MO 64086-2501
Phone (816) 507-8885
6650 W 110TH St
Suite 330
Overland Park, KS 66211-1798
Phone (913) 521-9090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2537 | KS | MD | Professional Counselor |
| 2037 | KS | MD | Optometrist |
| 2025054307 | MO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing and Balance Specialists of Kansas City LLC | Audiologist | Current | Accepting new patients |
Locations
6650 W 110th St
Ste 330
Overland Park, KS 66211
Phone (913) 521-9090
8640 N Green Hills Rd
Ste 43
Kansas City, MO 64154
Phone (816) 800-8020
458 NE State Route 291
Lees Summit, MO 64086
Phone (816) 507-8885
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": "1733788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1760298152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9513 W 54TH ST",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662032037",
"telephone_number": "304-654-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 W 110TH ST STE 330",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111798",
"telephone_number": "913-521-9090",
"fax_number": "913-521-9955"
}
],
"practiceLocations": [
{
"address_1": "8640 N Green Hills Rd Ste 43",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641541903",
"country_code": "US",
"telephone_number": "816-800-8020",
"fax_number": "816-800-8029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "458 NE 291 Hwy",
"address_purpose": "LOCATION",
"city": "Lees Summit",
"state": "MO",
"postal_code": "640862501",
"country_code": "US",
"telephone_number": "816-507-8885",
"fax_number": "816-533-4344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYCANS",
"first_name": "JESSIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-10",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "2537",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KS",
"license": "2037",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2025054307",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSIE",
"last_name": "KINGREY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.