Active NPI
Elisabeth Anne Devanny, PA-C
- Physician Assistant
- Kansas City, MO
National Provider Identifier
1780533364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1221 Pennsylvania Ave Apt 2307
Kansas City, MO 64105-1427 - Phone
- (816) 489-5699
- NPI assigned
- Jan 26, 2026
- Last updated
- Jan 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
1221 Pennsylvania Ave Apt 2307
Kansas City, MO 64105-1427
Mailing address
1221 Pennsylvania Ave Apt 2307
Kansas City, MO 64105-1427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2401 Gillham Rd
Kansas City, MO 64108-4619
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1780533364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PENNSYLVANIA AVE APT 2307",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PENNSYLVANIA AVE APT 2307",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051427",
"telephone_number": "816-489-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVANNY",
"first_name": "ELISABETH",
"middle_name": "ANNE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
- Nardos Desta, LMSW
- Richard Nicholas Destefano, DC
- Bessie Detel, RTRM
- Melinda Jean Dettenwanger, CPNP-PC
- Jacqueline Ann Devaney, DC
- Alec Pietro Devecchi
- Developing Potential, Inc.
- Developmental Disability Services of Jackson County - Eitas
- Developmental Disability Services of Jackson County - Eitas
- Developmental Disability Services of Jackson County - Eitas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.