Mrs Kelly Lynn Gonzalez, APRN is a medicare enrolled "Family Medicine" in Leawood, Kansas. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Renuva Health, Llc and her current practice location is
6740 W 121st St, Suite 195, Leawood, Kansas. You can reach out to her office (for appointments etc.) via phone at
(913) 388-7016.
Mrs Kelly Lynn Gonzalez is licensed to practice in Kansas (license number 5377973121) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295127363.
Provider's Profile
| Full Name | Mrs Kelly Lynn Gonzalez |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 12 Years |
|---|
| Location | 6740 W 121st St, Leawood, Kansas |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Kelly Lynn Gonzalez graduated from nursing school in 2014
NPI Data:
- NPI Number: 1295127363
- Provider Enumeration Date: 02/26/2015
- Last Update Date: 03/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921326430
- Enrollment ID: I20200422000404
Medical Identifiers
Medical identifiers for Mrs Kelly Lynn Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295127363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 2008001522 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2015006727 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2015006727 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 5377973121 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Renuva Health, Llc | 7517224835 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kelly Lynn Gonzalez allows following entities to bill medicare on her behalf.
| Entity Name | Renuva Health, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801155486
PECOS PAC ID: 7517224835
Enrollment ID: O20171121003316 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Lynn Gonzalez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kelly Lynn Gonzalez, APRN
6740 W 121st St, Suite 195,
Leawood, KS 66209
Ph: (913) 388-7016 | Mrs Kelly Lynn Gonzalez, APRN
6740 W 121st St, Suite 195,
Leawood, KS 66209
Ph: (913) 388-7016 |
Reviews and Comments