KELLY LYNN MISHMASH DNP
NPI 1538780176
Nurse Practitioner - Family in Pittsburg, KS

Q: What is Kelly Mishmash's NPI number?

The NPI number for Kelly Mishmash is 1538780176. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Q: What is Kelly Mishmash'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 Kelly Mishmash was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 06, 2020PECOS EnrolledAccepts Medicare Assignment

1011 S MOUNT CARMEL PL, PITTSBURG, KS 66762(620) 670-6710 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2020, May 19, 2020, May 11, 2020 and 1 more (4 updates tracked since 2020).

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About Kelly Lynn Mishmash Dnp NPPES

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

KELLY LYNN MISHMASH DNP (NPI 1538780176) is an individual family provider in Pittsburg, Kansas, licensed in Kansas (79453) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538780176

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY LYNN MISHMASHCredential: DNP

Location Address1011 S MOUNT CARMEL PLPittsburg, KS 66762-6604

Mailing Address3011 N Michigan StPittsburg, KS 66762-2546

Phone(620) 670-6710

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 6, 2020

Last NPPES UpdateJune 14, 20224 updates tracked since enumeration

NPPES CertifiedJune 14, 2022

✔ NPI 1538780176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in KS · 79453

Also ListedRegistered NurseTaxonomy 163W00000X · License 86657 (KS), 2017026463 (MO)

1011 S MOUNT CARMEL PL, Pittsburg, KS 66762

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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 Lynn Mishmash Dnp 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 ID1355763368

PECOS Enrollment IDI20200622000374

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.

Hospital Affiliations CMS Care Compare

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170006

Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66762 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

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 11

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

MRS. MEGAN MARTIN PHARMD

Pharmacist