LAKEISHA KELLY – Nurse Practitioner, NPI 1194496307

LAKEISHA KELLY is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2021016504 (MO). The NPI Number for LAKEISHA KELLY is 1194496307

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
LAKEISHA KELLY
NPI
1194496307
Phone
(816) 868-0788
Address
6119 N EVANS AVE
Enumeration Date
27 September 2021
Last Update Date
27 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8556792366
Graduation Year
2021 (5 years ago)
PAC ID
2668838525
Group Practice PAC ID
8820529704
Professional Enrollment ID
I20230620000483
Address ID
MO631051705CL120XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for LAKEISHA KELLY

  • 6119 N EVANS AVE

    KANSAS CITY, MO 641512162

    Phone: (816) 868-0788

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $3,989.

Total Amount is formed as General ($3,989) + Research ($0) + Ownership ($0) = $3,989.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($804).

Total Amount

$3,989

General + Research + Ownership

Payments

37

Total payment records

General Amount

$3,989

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230518001713INurse PractitionerKSTBD
I20230620000483INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64151)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820529704View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerAZ
Nurse PractitionerTX
Nurse PractitionerNC
Nurse PractitionerTX
Nurse PractitionerIA
Nurse PractitionerTX
Nurse PractitionerNC
Nurse PractitionerOH
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for LAKEISHA KELLY?
Save NPI 1194496307 if you need a stable reference for LAKEISHA KELLY.
Is LAKEISHA KELLY's NPI currently valid?
The extract we use shows LAKEISHA KELLY as active.
What does LAKEISHA KELLY treat or focus on?
Patients typically see LAKEISHA KELLY under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place LAKEISHA KELLY?
The snapshot lists Kansas City, Missouri for LAKEISHA KELLY; download NPPES for the complete set.
What if Kansas City, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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