| Kelli Eccles, APRN | |
|
1323 Georgia Rd, Humboldt, KS 66748-3000 | |
| (620) 431-2500 | |
| (620) 473-6380 |
| Full Name | Kelli Eccles |
|---|---|
| Gender | Female |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 11 Years |
| Location | 1323 Georgia Rd, Humboldt, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003284449 | NPI | - | NPPES |
| 76903 | Other | KS | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 76903 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Neosho Memorial Regional Medical Center | Chanute, KS | Hospital |
| Allen County Regional Hospital | Iola, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Preferred Podiatry Group Of Kansas Llc | 9436583275 | 10 |
| Entity Name | Neosho Memorial Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023251469 PECOS PAC ID: 9133022882 Enrollment ID: O20040129000863 |
| Entity Name | Ashley Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912087958 PECOS PAC ID: 0547240178 Enrollment ID: O20040723000105 |
| Entity Name | Southeast Kansas Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467414771 PECOS PAC ID: 3870562879 Enrollment ID: O20040927001008 |
| Entity Name | Preferred Podiatry Group Of Kansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588206262 PECOS PAC ID: 9436583275 Enrollment ID: O20200102001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Eccles, APRN 629 S Plummer Ave, Chanute, KS 66720-1928 Ph: (620) 431-2500 | Kelli Eccles, APRN 1323 Georgia Rd, Humboldt, KS 66748-3000 Ph: (620) 431-2500 |
Lori D Bancroft, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S 9th St, Humboldt, KS 66748 Phone: 620-473-6088 Fax: 855-710-6875 | |
Heather Lynnette Webber, APRN- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1216 Hawaii Rd, Humboldt, KS 66748 Phone: 888-777-9170 | |
Elizabeth Garton, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 S 9th St, Humboldt, KS 66748 Phone: 620-473-2241 Fax: 620-473-3334 | |
Kathryn Vantuyl Works, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 334 Iowa Rd, Humboldt, KS 66748 Phone: 620-473-1002 Fax: 620-473-3020 |