Individual provider Active NPI

Madison Anne Edwards, APRN

  • Family Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1316656051
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022033235 Issued in MO
Practice address
1115 N Belt Hwy
Saint Joseph, MO 64506-2410
Phone
(816) 271-7077
Fax
(816) 271-4998
NPI assigned
Nov 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 2022033235 MO Primary

Addresses

Primary practice location

1115 N Belt Hwy
Saint Joseph, MO 64506-2410

Mailing address

2907 N 39TH Ter
Saint Joseph, MO 64506-1811
Phone (816) 262-2066

Other names 1

  • Madison Anne Lyon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address madison.lyon@mymlc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20250530003221 KS Practitioner - Nurse Practitioner 0840663498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Informe Healthcare Il LLCGroup PAC ID 8123448784, 24 clinicians

Practice addresses (Care Compare)

502 Roseport Rd
Elwood, KS 66024-7801
Phone (913) 348-4453

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022033235MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Informe Healthcare Il LLC CurrentSince Mar 7, 2025 Accepting new patients

Locations

2741 W Layton Ave
Ste 106
Milwaukee, WI 53221

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1316656051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 N 39TH TER",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061811",
            "telephone_number": "816-262-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062410",
            "telephone_number": "816-271-7077",
            "fax_number": "816-271-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MADISON",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022033235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madison.lyon@mymlc.com",
            "affiliation": "N",
            "address_1": "5325 Faraon St",
            "city": "Saint Joseph",
            "state": "MO",
            "country_code": "US",
            "postal_code": "645063488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "LYON",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.