Individual provider Active NPI

Kelli J Swayden, NURSE PRACTITIONER

  • Nurse Practitioner
  • Ulysses, KS
National Provider Identifier
1932434065
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-APRN75125 Issued in KS
Practice address
415 N Main St
Ulysses, KS 67880-2133
Phone
(620) 356-1266
Fax
(620) 356-2302
NPI assigned
Oct 7, 2009
Last updated
May 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-APRN75125 KS Primary
Adult Health Nurse Practitioner 363LA2200X 2008000823 MO

Addresses

Primary practice location

415 N Main St
Ulysses, KS 67880-2133

Mailing address

415 N Main St
Ulysses, KS 67880-2133
Phone (620) 356-1266

Other practice location 1

6420 N Prospect Ave
Gladstone, MO 64119-1574
Phone (816) 298-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IA2 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
I20180321002597 KS Practitioner - Nurse Practitioner 5597880344 Reassigns benefits to 9 organizations
I20180412001279 IA Practitioner - Nurse Practitioner 5597880344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 N Walnut St
Medicine Lodge, KS 67104-1019
Phone (620) 886-3771

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-APRN75125KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Apr 1, 2018 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Jun 10, 2022 Accepting new patients
Hegg Memorial Hospital CurrentSince Jan 27, 2021 Accepting new patients
Medicine Lodge Memorial Hospital CurrentSince Jun 10, 2022 Accepting new patients
Family Care of E. Jackson County LLC CurrentSince Jul 18, 2010 Accepting new patients
Avera McKennan Current Accepting new patients
Medicine Lodge Memorial Hospital Current Accepting new patients
Avera McKennan CurrentSince Apr 1, 2018 Accepting new patients
Hospital District No 6 of Harper County Kansas Current Accepting new patients
Hegg Memorial Hospital CurrentSince Jan 27, 2021 Accepting new patients
Usacs of Colorado Inc CurrentSince Apr 1, 2022 Accepting new patients
Avera McKennan Current Accepting new patients
Usacs of Colorado Inc CurrentSince Apr 1, 2022 Accepting new patients
Osceola Community Hospital Inc. CurrentSince Mar 16, 2018 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Lincoln County Hospital CurrentSince Jul 10, 2018 Accepting new patients
Osceola Community Hospital Inc CurrentSince Mar 16, 2018 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Avera McKennan Past Accepting new patients
Serafini Medical, P.C. PastSince Oct 20, 2014 Accepting new patients
Medicine Lodge Memorial Hospital Past Accepting new patients
Midwest Heart & Vascular Specialists, LLC Past Accepting new patients

Locations

1100 S 10th Ave
Ste 100
Rock Rapids, IA 51246
Phone (712) 472-5300

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

600 9th Ave N
Sibley, IA 51249
Phone (712) 754-2574

116 E 11th St
Ste 101
Spencer, IA 51301
Phone (712) 264-3500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200

2051 E Mary St
Garden City, KS 67846
Phone (620) 277-9092

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

710 N Walnut St
Medicine Lodge, KS 67104
Phone (620) 886-3771

1509 NW Mock Ave
Blue Springs, MO 64015
Phone (816) 229-8187

725 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 229-8187

19550 E 39th St S
Ste 400B
Independence, MO 64057
Phone (816) 795-7014

Interoperability endpoints

  • Direct secure messaging: kelli.swayden@avera.sdhealthlink.net

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1932434065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802133",
            "telephone_number": "620-356-1266",
            "fax_number": "620-356-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802133",
            "telephone_number": "620-356-1266",
            "fax_number": "620-356-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "MO",
            "postal_code": "641191574",
            "country_code": "US",
            "telephone_number": "816-298-7997",
            "fax_number": "816-298-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAYDEN",
        "first_name": "KELLI",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-APRN75125",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2008000823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulysses, KS

Sources for this page

Verify at the official NPI Registry.