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

Mrs. Kelly Ann Croci, PA

Individual provider Physician Assistant · NPI 1760951669

Mrs. Kelly Ann Croci, PA is a Physician Assistant in Overland Park, Kansas. Qualified in 2018, 8 years ago. Practices with Ascentist Physicians Group LLC, a 109-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
8
Licensed in
KS
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4550 W 109th St Ste 200
Overland Park, KS 66211-1354
Phone: (913) 721-3387
Fax: (816) 875-2597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14340 Metcalf Ave, Overland Park, KS 66223-2987 — (913) 721-3387

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02167 (KS)

Record details

NPI number1760951669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 20, 2018
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ascentist Physicians Group Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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