KELCI BROOKE GILLENWATER
NPI 1962887109
Nurse Practitioner in Overland Park, KS

Active since July 29, 2015PECOS EnrolledAccepts Medicare Assignment
10200 W 105TH ST, OVERLAND PARK, KS 66212(913) 495-9600 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelci Brooke Gillenwater NPPES

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

KELCI BROOKE GILLENWATER (NPI 1962887109) is an individual nurse practitioner in Overland Park, Kansas, licensed in Kansas (53-76507-042) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962887109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELCI BROOKE GILLENWATER
Location Address10200 W 105TH STOverland Park, KS 66212-5750
Mailing Address10200 W 105th StOverland Park, KS 66212-5750 · (913) 495-9600 · Fax (913) 599-0951
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 29, 2015
NPI 1962887109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in KS · 53-76507-042 Licensed in MO · 2014035979
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10200 W 105TH ST, Overland Park, KS 66212

Other Names 1

Former Name (1)Kelci Brooke Burns Np

Accepted 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

Kelci Brooke Gillenwater 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 ID446569941
PECOS Enrollment IDI20151023001581
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

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 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.
42 services38 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66212 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 8

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

Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Nurse Anesthetist, Certified Registered
10200 W 105TH ST, SUITE 100
OVERLAND PARK, KS 66212
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Clinic/Center (Ambulatory Surgical)
10200 W 105TH ST
OVERLAND PARK, KS 66212
Internal Medicine (Gastroenterology)
10200 W 105TH ST
OVERLAND PARK, KS 66212
Internal Medicine (Gastroenterology)
10200 W 105TH ST
OVERLAND PARK, KS 66212
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212
Specialist
10200 W 105TH ST
OVERLAND PARK, KS 66212

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 Kelci Gillenwater's NPI number?

The NPI number for Kelci Gillenwater is 1962887109. It was assigned to this individual provider in the NPPES registry on July 29, 2015. The provider is also known as Kelci Brooke Burns Np.

Where is Kelci Gillenwater located?

Kelci Gillenwater practices at 10200 W 105th St, Overland Park, KS 66212. The listed phone number is (913) 495-9600.

What is Kelci Gillenwater's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelci Gillenwater enrolled in Medicare?

Yes. Kelci Gillenwater 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.

What insurance does Kelci Gillenwater accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Kelci Gillenwater 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.

Is Kelci Gillenwater affiliated with any hospitals?

According to CMS data, Kelci Gillenwater is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Kelci Gillenwater was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.