MRS. KELLY ELAINE BRYDEN APRN
NPI 1609400266
Nurse Practitioner - Family in Leavenworth, KS

Active since February 23, 2020PECOS Enrolled
4101 S 4TH ST, LEAVENWORTH, KS 66048(913) 682-2000 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 2, 2025, Oct 19, 2021, Feb 24, 2020 and 1 more (4 updates tracked since 2020).

About Mrs. Kelly Elaine Bryden Aprn NPPES

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

MRS. KELLY ELAINE BRYDEN APRN (NPI 1609400266) is an individual family provider in Leavenworth, Kansas, licensed in Kansas (53-79079-021) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609400266
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLY ELAINE BRYDENCredential: APRN
Location Address4101 S 4TH STLeavenworth, KS 66048-5014
Mailing Address4101 S 4th StLeavenworth, KS 66048-5014 · (913) 682-2000
Sole ProprietorNo
Enumeration DateFebruary 23, 2020
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1609400266 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 KS · 53-79079-021 Licensed in MO · 2020006450
4101 S 4TH ST, Leavenworth, KS 66048

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kelly Elaine Bryden Aprn 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 66048 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 20

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

Registered Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048
Internal Medicine (Pulmonary Disease)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse (Medical-Surgical)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Registered Nurse (Emergency)
4101 S 4TH ST
LEAVENWORTH, KS 66048
Licensed Practical Nurse
4101 S 4TH ST
LEAVENWORTH, KS 66048

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 Kelly Bryden's NPI number?

The NPI number for Kelly Bryden is 1609400266. It was assigned to this individual provider in the NPPES registry on February 23, 2020.

Where is Kelly Bryden located?

Kelly Bryden practices at 4101 S 4th St, Leavenworth, KS 66048. The listed phone number is (913) 682-2000.

What is Kelly Bryden's specialty?

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

Is Kelly Bryden enrolled in Medicare?

Yes. Kelly Bryden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Bryden was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.