Individual provider Active NPI

Mary C Miele, NP-C

  • Family Nurse Practitioner
  • Excelsior Springs, MO
National Provider Identifier
1306187307
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013007226 Issued in MO
Practice address
199 S. McCleary Rd
Excelsior Springs, MO 64024
Phone
(816) 407-4700
Fax
(816) 407-4701
NPI assigned
Mar 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 2013007226 MO Primary

Addresses

Primary practice location

199 S. McCleary Rd
Excelsior Springs, MO 64024

Mailing address

PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 470-4200

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000998 MO Practitioner - Nurse Practitioner 8123261203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Liberty Hospital CorporationGroup PAC ID 9931166618, 135 clinicians

Practice addresses (Care Compare)

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 781-7200

Hospital & facility affiliations

  • Liberty Hospital Hospital, Liberty, MO, CCN 260177
  • Excelsior Springs Hospital Hospital, Excelsior Springs, MO, CCN 261322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Liberty Hospital Corporation CurrentSince May 1, 2013 Accepting new patients
New Liberty Hospital Coporation CurrentSince May 1, 2013 Accepting new patients
New Liberty Hospital Coporation Past Accepting new patients
New Liberty Hospital Corporation PastSince Feb 1, 2022 Accepting new patients

Locations

199 S McCleary Rd
Ste 100
Excelsior Springs, MO 64024
Phone (816) 407-4700

305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409

2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200

2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437

2609 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 407-4555

Interoperability endpoints

  • Direct secure messaging: mary.miele.p5@direct.nlhc.nextgenshare.com

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 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": "1363305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1306187307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219672",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219672",
            "telephone_number": "816-470-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S. MCCLEARY RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-407-4700",
            "fax_number": "816-407-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELE",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-15",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013007226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

Verify at the official NPI Registry.