Individual provider

Nicole Neeley, MD

Student in an Organized Health Care Education/Training Program Pediatrics Physician Medicare enrolled

Nicole Neeley, MD is a provider specialising in Student in an Organized Health Care Education/Training Program in Kansas City, MO, registered under NPI 1205539251. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2401 GILLHAM RD, Kansas City, MO 64108. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2401 GILLHAM RD, Kansas City, MO 64108 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2023021638 MO Pediatrics Physician
94-11415 KS Pediatrics Physician

Licences are recorded in 2 states: MO, KS. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Pediatric Medicine
PAC ID
2163880816
Enrollment ID
I20230628000847

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kansas and Missouri. The practice address on file is in Kansas City, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KS Kansas
Licence
94-11415
Specialty
Pediatrics Physician
Verify with the KS board →
MO Missouri practice address
Licence
2023021638
Specialty
Pediatrics Physician
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Student in an Organized Health Care Education/Training Program covers

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. NUCC Health Care Provider Taxonomy, code 390200000X
Student, Health Care Student in an Organized Health Care Education/Training Program

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
390200000X Student in an Organized Health Care Education/Training Program primary
208000000X Pediatrics Physician 2023021638 MO
208000000X Pediatrics Physician 94-11415 KS

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1205539251 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 27, 2023
Last updatedJul 3, 2023
StatusActive
Sole proprietorYes
CredentialMD
Practice address 2401 GILLHAM RD
Kansas City, MO 64108
(816) 234-3000
The last update on file is Jul 3, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1205539251 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 0 5 5 3 9 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 0 5 1 3 9 2 1

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1205539251?
NPI 1205539251 is the National Provider Identifier assigned to Nicole Neeley, MD in Kansas City, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Student in an Organized Health Care Education/Training Program cover?
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
How do I contact Nicole Neeley, MD?
The phone number on file with NPPES is (816) 234-3000, last updated Jul 3, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Nicole Neeley, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1205539251 a valid number?
Yes. 1205539251 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.