Michelle Anne Madera, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018037735 Issued in MO

Practice address

7209 N Prospect Ave
Gladstone, MO 64119-1110

Phone

(816) 429-1396

NPI assigned

Nov 6, 2018

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Michelle Anne Illy Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KS, MO, IN, OH4 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 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care Mo PCGroup PAC ID 1254744469, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.madera.1@29601.direct.athenahealth.com
• Direct secure messaging: mmadera114009@direct.optum.com

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

• Centerwell Senior Primary Care (Mo) PC

  dba CenterWell Senior Primary Care- Midtown

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1639692098
  Medicare reassignment Care Compare group
• American Health Network of Indiana, LLC

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1831236272

  Nurse Practitioner

  Medicare reassignment NPD
• American Health Network of Ohio, LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1386675544
  Medicare reassignment NPD
• Optum Medical Group PA

  dba Optum

  • Family Medicine Physician
  • Overland Park, KS
  • NPI 1063143907

  MO

  Medicare reassignment NPD
• Centerwell Senior Primary Care (Mo) PC

  dba CenterWell Senior Primary Care- Gladstone

  • Internal Medicine Physician
  • Gladstone, MO
  • NPI 1154148435
  NPD
• Centerwell Senior Primary Care (Mo) PC

  dba CenterWell Senior Primary Care - Seven Oaks

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1518787076
  NPD
• American Health Network of Indiana LLC

  dba American Health Network of Indiana LLC/TELERADIOLOGY

  • Radiology Clinic/Center
  • New Albany, IN
  • NPI 1164304424
  NPD
• American Health Network of Ohio, LLC

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1518990787
  NPD
• American Health Network of Ohio, LLC

  dba American Health Network of Ohio LLC / TELERADIOLOGY

  • Radiology Clinic/Center
  • Columbus, OH
  • NPI 1548142987
  NPD
• Kansas Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Leawood, KS
  • NPI 1255883682
  NPD
• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Mulberry, IN
  • NPI 1033220017
  NPD (past)
• Carespot Professional Services LLC

  dba CareNow

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1568703783
  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1326516519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662149836",
            "telephone_number": "816-453-1818",
            "fax_number": "913-495-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7209 N PROSPECT AVE",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191110",
            "telephone_number": "816-429-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22700 W 55th Ter",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662265602",
            "country_code": "US",
            "telephone_number": "913-422-1825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 NW Englewood Rd",
            "address_purpose": "LOCATION",
            "city": "Gladstone",
            "state": "MO",
            "postal_code": "641184054",
            "country_code": "US",
            "telephone_number": "816-453-1818",
            "fax_number": "913-495-3712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADERA",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018037735",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78467-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.madera.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7209 N Prospect Ave",
            "city": "Gladstone",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641191110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals_eng@encompassmed.direct-ci.net",
            "affiliation": "Y",
            "affiliationName": "Encompass Medical Group, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 NW Englewood Rd",
            "city": "Gladstone",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641184054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ILLY",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin Randal Lindsay, PHARM.D
• Marjorie Lynne Lindsay
• James Kenneth Long, LPC
• Loving Divine Mama LLC
• Emily L Lyons, DPT
• Cassandra Renee Malcolm, PLPC
• Aysha Malik, PHARMD
• Andrew Mancin
• Dixie Sue Manroe, FNP BC
• Shelby Markum, LSCSW, LCSW

• Family Nurse Practitioner in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.