Individual provider Active NPI

Kellee Nicole Neal, DO

  • Otolaryngology Physician
  • Saint Joseph, MO
National Provider Identifier
1073010948
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2019035149 Issued in MO
Practice address
101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015
Phone
(816) 671-4840
Fax
(816) 671-4845
NPI assigned
Apr 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2019035149 MO Primary

Addresses

Primary practice location

101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015

Mailing address

101 Mosaic CT Ste 300
Saint Joseph, MO 64506-0015
Phone (816) 671-4840

Other practice location 1

1031 McIntosh Cir
Joplin, MO 64804-3643
Phone (417) 347-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011001171 MO Practitioner - Otolaryngology 8921453903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians
Ability KCGroup PAC ID 0143116368, 166 clinicians

Practice addresses (Care Compare)

114 E S Hills Dr
Maryville, MO 64468-2659

2016 S Main St
Mosaic Life Care
Maryville, MO 64468-2655
Phone (660) 562-2600

2024 S Main St
Maryville, MO 64468-2655

3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of skin lesions12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Aug 30, 2023 Accepting new patients
Heartland Regional Medical Center Otolaryngology CurrentSince Aug 30, 2023 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jun 12, 2025 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jun 12, 2025 Accepting new patients
Heartland Regional Medical Center Otolaryngology Current Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

114 E South Hills Dr
Maryville, MO 64468
Phone (660) 562-2525

2024 S Main St
Maryville, MO 64468
Phone (660) 562-2566

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 160
Saint Joseph, MO 64506
Phone (816) 364-3277

Organizations & group practices 6

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 2

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1073010948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 300",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-671-4840",
            "fax_number": "816-671-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MOSAIC CT STE 300",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645060015",
            "telephone_number": "816-671-4840",
            "fax_number": "816-671-4845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 McIntosh Cir",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043643",
            "country_code": "US",
            "telephone_number": "417-347-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "KELLEE",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2019035149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.