Kelsey Renay Fullerton, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

53-85966-101 Issued in KS

Practice address

21 N 12TH St
Kansas City, KS 66102-5161

Phone

(913) 342-2552

NPI assigned

Aug 5, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1982528998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SE SCENIC DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640144234",
            "telephone_number": "816-377-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 12TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "913-342-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLERTON",
        "first_name": "KELSEY",
        "middle_name": "RENAY",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-85966-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Lane Fry, MD
• Tiara Arianne Fry, DDS
• Daniel Frye, M.D.
• Elizabeth Frye
• FSL Kansas City Tenant LLC
• Robert Keith Fullmer, PHARM D
• Danielle Marie Funaro, DO
• Kristen E Funk Rickabaugh, MD
• Joyce M. Funk, NP
• Andrew Fuqua, MD

• Pediatric Nurse Practitioner in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pediatric Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.