Organization Active NPI

Max-Well Primary Care LLC

  • Family Medicine Physician
  • Basehor, KS
National Provider Identifier
1144106121
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAX-WELL PRIMARY CARE LLC
Practice address
15604 Pinehurst Dr Ste 4
Basehor, KS 66007-8234
Phone
(913) 662-0043
Fax
(913) 662-0043
NPI assigned
Aug 14, 2025
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Kelli Maxwell Kelli Maxwell, APRN, NP-C
Title
Owner
Phone
(913) 662-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

15604 Pinehurst Dr Ste 4
Basehor, KS 66007-8234

Mailing address

15604 Pinehurst Dr Ste 4
Basehor, KS 66007-8234
Phone (913) 662-0043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251016002991 KS Part B Supplier - Clinic/Group Practice 9638666233 Receives reassigned benefits from 1 practitioner
Practice locations: Basehor, KS

National Provider Directory

National Provider Directory

Locations

15395 Briar Rd
Ste B
Basehor, KS 66007
Phone (913) 662-0061

15604 Pinehurst Dr
Ste 4
Basehor, KS 66007
Phone (913) 662-0043

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1144106121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR STE 4",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078234",
            "telephone_number": "913-662-0043",
            "fax_number": "913-662-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR STE 4",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078234",
            "telephone_number": "913-662-0043",
            "fax_number": "913-662-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX-WELL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "KELLI MAXWELL",
        "authorized_official_first_name": "KELLI MAXWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-662-0043",
        "authorized_official_credential": "APRN, NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basehor, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.