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

Kelly Lynn Mishmash, DNP

Individual provider Family Nurse Practitioner · NPI 1538780176

Kelly Lynn Mishmash, DNP is a Nurse Practitioner in Pittsburg, Kansas. Qualified in 2020, 6 years ago. Practices with Community Health Center of Southeast Kansas Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
6
Licensed in
KS, MO
In the registry since
2020
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1011 S Mount Carmel Pl
Pittsburg, KS 66762-6604
Phone: (620) 670-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 79453 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 86657 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 2017026463 (MO)

Record details

NPI number1538780176
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedMay 6, 2020
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Center Of Southeast Kansas Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Pittsburg