KELLIE NICOLE FITZGERALD MSN, APRN, FNP-BC
NPI 1902791627
Nurse Practitioner - Family in Kansas City, MO
About Kellie Nicole Fitzgerald Msn, Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLIE NICOLE FITZGERALD MSN, APRN, FNP-BC (NPI 1902791627) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2024043517) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kellie Nicole Fitzgerald Msn, Aprn, Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kellie Fitzgerald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Leawood, KS 66211
- Reassigned Medicare billing, Missouri enrollment
- 170 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64145
KANSAS CITY, MO 64145
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 Kellie Fitzgerald's NPI number?
The NPI number for Kellie Fitzgerald is 1902791627. It was assigned to this individual provider in the NPPES registry on June 11, 2025.
Where is Kellie Fitzgerald located?
Kellie Fitzgerald practices at 13101 State Line Rd, Kansas City, MO 64145. The listed phone number is (816) 942-2438.
What is Kellie Fitzgerald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kellie Fitzgerald enrolled in Medicare?
Yes. Kellie Fitzgerald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kellie Fitzgerald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Fitzgerald reassigns Medicare benefits to Minuteclinic Diagnostic Of Kansas PA (Leawood, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kellie Fitzgerald was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kellie Nicole Fitzgerald, MSN, APRN, FNP-BC · NPI 1902791627
Family physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since June 11, 2025.
## Identity
- **NPI:** 1902791627 (Entity type: Individual)
- **Enumerated:** June 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2024043517 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 13101 STATE LINE RD, Kansas City, MO 64145-1650
- **Phone:** (816) 942-2438
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic Diagnostic Of Kansas PA (NPI 1629005558, Leawood, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902791627) · Data from the CMS NPPES public registry.