MELINDA JEAN DETTENWANGER CPNP-PC
NPI 1487166401
Nurse Practitioner - Pediatrics in Kansas City, MO
About Melinda Jean Dettenwanger Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELINDA JEAN DETTENWANGER CPNP-PC (NPI 1487166401) is an individual pediatrics provider in Kansas City, Missouri, licensed in Missouri (2017038336) and active in the NPI registry since October 2017.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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.
KANSAS CITY, MO 64108
KANSAS CITY, MO 64108
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Melinda Dettenwanger's NPI number?
The NPI number for Melinda Dettenwanger is 1487166401. It was assigned to this individual provider in the NPPES registry on October 31, 2017.
Where is Melinda Dettenwanger located?
Melinda Dettenwanger practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 701-5200.
What is Melinda Dettenwanger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
What insurance does Melinda Dettenwanger accept?
Health plans from Medica list Melinda Dettenwanger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Melinda Dettenwanger was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Melinda Jean Dettenwanger, CPNP-PC · NPI 1487166401
Pediatrics physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since October 31, 2017.
## Identity
- **NPI:** 1487166401 (Entity type: Individual)
- **Enumerated:** October 31, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2017038336 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 GILLHAM RD, Kansas City, MO 64108-4619
- **Phone:** (816) 701-5200
## Record status
- **NPPES last updated:** March 17, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1487166401) · Data from the CMS NPPES public registry.