SUZIE KELLEY FNP-C
NPI 1376269472
Nurse Practitioner - Family in Kansas City, MO

Q: What is Suzie Kelley's NPI number?

The NPI number for Suzie Kelley is 1376269472. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Q: What is Suzie Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Suzie Kelley was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 19, 2022PECOS Enrolled

3515 BROADWAY BLVD, KANSAS CITY, MO 64111(816) 753-5144 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2022, Oct 19, 2022 (2 updates tracked since 2022).

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About Suzie Kelley Fnp-c NPPES

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

SUZIE KELLEY FNP-C (NPI 1376269472) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2022041568) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376269472

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUZIE KELLEYCredential: FNP-C

Location Address3515 BROADWAY BLVDKansas City, MO 64111-2501

Mailing Address3515 Broadway BlvdKansas City, MO 64111-2501 · (816) 753-5144

Phone(816) 753-5144

Sole ProprietorNo

Enumeration DateOctober 19, 2022

Last NPPES UpdateApril 26, 20232 updates tracked since enumeration

NPPES CertifiedApril 26, 2023

✔ NPI 1376269472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MO · 2022041568✔ Licensed in KS · TMP-161142

3515 BROADWAY BLVD, Kansas City, MO 64111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzie Kelley Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

Most-billed visit code 99214

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.

AMANDA VAN TUYL

Case Manager/Care Coordinator