Individual provider Active NPI

Abigael F Kelly, AUD

  • Audiologist
  • Overland Park, KS
National Provider Identifier
1962180638
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1927 Issued in KS
Practice address
12541 Foster St Ste 220
Overland Park, KS 66213-2301
Phone
(913) 498-2827
Fax
(913) 498-1052
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2482 KS
Audiologist 231H00000X 1927 KS Primary

Addresses

Primary practice location

12541 Foster St Ste 220
Overland Park, KS 66213-2301

Mailing address

PO Box 19087
Lenexa, KS 66285-9087
Phone (913) 262-5855

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230724001953 KS Practitioner - Qualified Audiologist 8921468851 Reassigns benefits to 1 organization
I20240201001473 MO Practitioner - Qualified Audiologist 8921468851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Audiologists IncGroup PAC ID 4183693187, 15 clinicians

Practice addresses (Care Compare)

12541 Foster St
Suite 220
Overland Park, KS 66213-2301
Phone (913) 498-2827

8350 N St Clair Ave
Suite 175
Kansas City, MO 64151-5100
Phone (913) 384-2105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2482KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Audiologists Inc Audiologist CurrentSince Jun 21, 2023 Accepting new patients

Locations

1112 W 6th St
Ste 100
Lawrence, KS 66044
Phone (785) 843-8479

1001 6th Ave
Ste 105
Leavenworth, KS 66048
Phone (913) 682-1870

1133 College Ave
Ste A101
Manhattan, KS 66502
Phone (785) 539-7361

12541 Foster St
Ste 220
Overland Park, KS 66213
Phone (913) 498-2827

8800 W 75th St
Ste 101
Shawnee Msn, KS 66204
Phone (913) 403-0018

4721 S Cliff Ave
Ste 201
Independence, MO 64055
Phone (816) 373-7944

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1962180638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19087",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859087",
            "telephone_number": "913-262-5855",
            "fax_number": "913-262-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132301",
            "telephone_number": "913-498-2827",
            "fax_number": "913-498-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ABIGAEL",
        "middle_name": "F",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2482",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2023; 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.