Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antonella Tenerelli

Individual provider Physician Assistant · NPI 1639943152

Antonella Tenerelli is a Physician Assistant in Overland Park, Kansas. Qualified in 2024, 2 years ago. Practices with Shawnee Mission Medical Center Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2023
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Practice location Address checks out

7840 W 165th St Ste 330
Overland Park, KS 66223-3021
Phone: (913) 373-0120
Fax: (913) 373-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-03217 (KS)

Record details

NPI number1639943152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shawnee Mission Medical Center Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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