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

Kelci Brooke Gillenwater

Individual provider Nurse Practitioner · NPI 1962887109

Kelci Brooke Gillenwater is a Nurse Practitioner in Overland Park, Kansas. Qualified in 2014, 12 years ago. Practices with Gastrointestinal Associates LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
12
Licensed in
KS, MO
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

10200 W 105th St
Overland Park, KS 66212-5750
Phone: (913) 495-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-76507-042 (KS)
Nurse Practitioner Taxonomy 363L00000X · Licence 2014035979 (MO)

Record details

NPI number1962887109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2015
Last updated in NPPESJuly 29, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gastrointestinal Associates Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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