Individual provider Active NPI

Jessie L Lycans, AUD

  • Audiologist
  • Overland Park, KS
National Provider Identifier
1760298152
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2537 Issued in KS
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

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250616000368 KS Practitioner - Qualified Audiologist 2365953528 Reassigns benefits to 1 organization
I20260107001055 MO Practitioner - Qualified Audiologist 2365953528 Reassigns benefits to 1 organization

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
Hearing and Balance Specialists of Kansas City LLCGroup PAC ID 0840575650, 10 clinicians

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

LicenseStateTypeSpecialty
2537KSMDProfessional Counselor
2037KSMDOptometrist
2025054307MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Balance Specialists of Kansas City LLC Audiologist CurrentSince Jun 5, 2025 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.

Verify at the official NPI Registry.