Individual provider Active NPI

Neil Francis Kelly, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1982468468
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5382730072 Issued in KS
Practice address
19005 W 159TH Ter
Olathe, KS 66062-8992
Phone
(816) 804-8996
NPI assigned
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5382730072 KS Primary

Addresses

Primary practice location

19005 W 159TH Ter
Olathe, KS 66062-8992

Mailing address

19005 W 159TH Ter
Olathe, KS 66062-8992
Phone (816) 804-8996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003595 MO Practitioner - Nurse Practitioner 5991140923 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5382730072KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Feb 15, 2025 Accepting new patients
Truman Medical Center Incorporated CurrentSince Feb 15, 2025 Accepting new patients
Minimally Invasive Vascular Associates, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

4200 Little Blue Pkwy
Ste 350
Independence, MO 64057
Phone (816) 648-6482

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Organizations & group practices 4

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1982468468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19005 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628992",
            "telephone_number": "816-804-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19005 W 159TH TER",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628992",
            "telephone_number": "816-804-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NEIL",
        "middle_name": "FRANCIS",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "5382730072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.