KELLY G. HENDERSON P.A.
NPI 1154337517
Physician Assistant in Overland Park, KS

Q: What is Kelly Henderson's NPI number?

The NPI number for Kelly Henderson is 1154337517. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Kelly Henderson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Henderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment

11725 W 112TH ST, OVERLAND PARK, KS 66210(913) 469-5579(913) 338-1311 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly G. Henderson P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY G. HENDERSON P.A. (NPI 1154337517) is an individual physician assistant in Overland Park, Kansas, licensed in Kansas (15-00672) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1154337517

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY G. HENDERSONCredential: P.A.

Location Address11725 W 112TH STOverland Park, KS 66210-2761

Mailing Address11755 W 112th St, Suite 203Overland Park, KS 66210-2761 · (913) 469-0503 · Fax (913) 338-1311

Phone(913) 469-5579

Fax(913) 338-1311

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154337517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in KS · 15-00672

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11725 W 112TH ST, Overland Park, KS 66210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly G. Henderson P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810181609

PECOS Enrollment IDI20101105000617

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

166 services84 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

58 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services16 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

18 services18 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number170176

Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County

Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

Kansas City Orthopaedic Institute

Acute Care Hospitals · Leawood, KS

OwnershipPhysician

CMS Certification Number170188

Location3651 College BlvdLeawood, KS 66211 · Johnson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$66.40 typical visit price

range $16.88 – $132.11

Typical copayment $16.60 (range $4.22 – $33.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA FAIR

Family Medicine