KELLY MARIE DERGANC ARNP
NPI 1881900058
Nurse Practitioner - Adult Health in Joplin, MO

Q: What is Kelly Derganc's NPI number?

The NPI number for Kelly Derganc is 1881900058. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Q: What is Kelly Derganc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Derganc 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 August 26, 2010PECOS EnrolledAccepts Medicare Assignment

100 MERCY WAY, JOPLIN, MO 64804(417) 556-2727(785) 357-6589 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Marie Derganc Arnp NPPES

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

KELLY MARIE DERGANC ARNP (NPI 1881900058) is an individual adult health provider in Joplin, Missouri, licensed in Missouri (2012035666) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy Specialty Hospital Southeast Kansas, and maintains a secondary practice location in Blue Springs.

NPPES Registry Identity

NPI1881900058

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKELLY MARIE DERGANCCredential: ARNP

Location Address100 MERCY WAYJoplin, MO 64804-4524

Mailing Address909 Sw Mulvane StTopeka, KS 66606-1677 · (785) 357-0301 · Fax (785) 357-6589

Phone(417) 556-2727

Fax(785) 357-6589

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 26, 2010

Last NPPES UpdateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1881900058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in MO · 2012035666✔ Licensed in KS · 141458

100 MERCY WAY, Joplin, MO 64804

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Secondary Practice Location 1

Location 11100 NW South Outer Rd Ste 200Blue Springs, MO 64015-3069 · Phone (888) 256-3814 · Fax (888) 256-9054

Other Identifiers 2

Other068002116KS · Medicare Ptan

Medicaid200674390BKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 Marie Derganc Arnp 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 ID3072709666

PECOS Enrollment IDI20160627001242

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 5

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 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.

376 services287 patients

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.

158 services149 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Specialty Hospital Southeast Kansas

Acute Care Hospitals · Galena, KS

OwnershipVoluntary non-profit - Private

CMS Certification Number170203

Location1619 K 66Galena, KS 66739 · Cherokee County

Mercy Hospital Columbus

Critical Access Hospitals · Columbus, KS

OwnershipVoluntary non-profit - Church

CMS Certification Number171308

Location220 N Pennsylvania AvenueColumbus, KS 66725 · Cherokee County

Emergency services

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260001

Location100 Mercy WayJoplin, MO 64804 · Jasper County

Emergency services Birthing friendly

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261338

Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

1 supplier19 claims399 services$20.16 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier18 claims375 services$7.06 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims168 services$9.31 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6251

DME-Medical/Surgical Supplies · category DA023N

1 supplier19 claims543 services$1.86 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAWRENCE ANTHONY HOYT MD

Internal Medicine