Individual provider Active NPI

Maddison Pearl Selley, FNP-C

  • Family Nurse Practitioner
  • Lees Summit, MO
National Provider Identifier
1033922604
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025002303 Issued in MO
Practice address
120 NE Saint Lukes Blvd Ste 275
Lees Summit, MO 64086-1000
Phone
(816) 554-3838
Fax
(816) 554-1634
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025002303 MO Primary

Addresses

Primary practice location

120 NE Saint Lukes Blvd Ste 275
Lees Summit, MO 64086-1000

Mailing address

120 NE Saint Lukes Blvd Ste 275
Lees Summit, MO 64086-1000
Phone (816) 554-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250224002707 MO Practitioner - Nurse Practitioner 0143740936 Reassigns benefits to 2 organizations
I20251114000835 KS Practitioner - Nurse Practitioner 0143740936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists LLCGroup PAC ID 9739494832, 69 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Saint Luke'S East Hospital
Lees Summit, MO 64086-6000
Phone (816) 554-3838

120 NE Saint Lukes Blvd
Saint Luke'S East Surgery Center
Lees Summit, MO 64086-6000
Phone (816) 554-3838

3800 S Whitney Ave
Independence, MO 64055-6739
Phone (816) 478-4887

7820 W 165TH St
Advent Health South Hospital
Overland Park, KS 66223-3021
Phone (816) 554-3838

Hospital & facility affiliations

  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, LLC CurrentSince Jan 1, 2025 Accepting new patients
Summit Gastroenterology LLC CurrentSince Feb 2, 2025 Accepting new patients
Ascentist Physicians Group, LLC PastSince May 21, 2019 Accepting new patients

Locations

4550 W 109th St
Ste 200
Overland Park, KS 66211
Phone 9137213387 ext. 13387

7820 W 165th St
Overland Park, KS 66223
Phone (913) 232-9846

3800 S Whitney Ave
Ste 100
Independence, MO 64055

120 NE Saint Lukes Blvd
Ste 275
Lees Summit, MO 64086

110 NE Saint Lukes Blvd
Ste 530
Lees Summit, MO 64086

120 NE Saint Lukes Blvd
#275
Lees Summit, MO 64086

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1033922604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 275",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640861000",
            "telephone_number": "816-554-3838",
            "fax_number": "816-554-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NE SAINT LUKES BLVD STE 275",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640861000",
            "telephone_number": "816-554-3838",
            "fax_number": "816-554-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLEY",
        "first_name": "MADDISON",
        "middle_name": "PEARL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025002303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

Verify at the official NPI Registry.