Doctor profile · Federal record
Dr. Kelly Gordon, RN ARNP CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · Registered Nurse · Certified Registered Nurse Anesthetist · Kansas City, MO
- NPI 1063495711
- Accepts Medicare
- 26 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
1318 E 104Th St
Kansas City, MO 641314504
(816) 256-5200 - Additional location
-
3550 S 4Th St
Leavenworth, KS 660485071
(800) 903-2088
fax (913) 334-0875 - Additional location
-
8800 Ballentine St
Overland Park, KS 662141900
(913) 363-2663 - Additional location
-
706 N Burkarth RD
Warrensburg, MO 640939303
(660) 747-8868 - Additional location
-
901 Heartland RD Ste 1820
Saint Joseph, MO 645066201
(816) 364-2772 - Mailing address
-
29800 W 127Th St
Olathe, KS 660618636
Show 2 more locations
Credentials & registration
- NPI registered
- November 2005 — 21 yrs on file
- Profile last updated
- May 1, 2025
- Year of graduation
- 2000 — 26 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (3)
- Kansas #54723 · Kansas #1358880051 · Missouri #115622
- Medicaid (2)
- MO #915400618 · KS #100403160D
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063495711. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
27
Distinct HCPCS
1
Medicare allowed
$3,102
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 27 | 27 | $115 |
In context: peer comparison
Among 53 peers in this city , average services per provider: 32. This provider delivers 0.8× the peer median.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $26.24 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Gordon's medical specialty?
Dr. Kelly Gordon practices Certified Registered Nurse Anesthetist in Kansas City, MO.
Where does Dr. Kelly Gordon practice?
Dr. Kelly Gordon practices at 1318 E 104Th St, Kansas City, MO 641314504. Office phone: 8162565200.
What is Dr. Kelly Gordon's NPI?
Dr. Kelly Gordon's National Provider Identifier (NPI) is 1063495711, issued by NPPES.
Does Dr. Kelly Gordon accept Medicare assignment?
Yes. Dr. Kelly Gordon accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Gordon commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for lens surgery (HCPCS 00142). Source: CMS Medicare Physician & Other Practitioners file.