NPIMap

Individual provider Active NPI

Elisa Eh Vinyard

  • Family Medicine Physician
  • Maysville, MO
National Provider Identifier
1477525152
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20010215838 Issued in MO
Practice address
1007 S Polk St
Maysville, MO 64469-4030
Phone
(816) 449-2123
Fax
(816) 449-2125
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20010215838 MO Primary

Addresses

Primary practice location

1007 S Polk St
Maysville, MO 64469-4030

Mailing address

1007 S Polk St
Maysville, MO 64469-4030
Phone (816) 449-2123

Other names 1

  • Elisa Eh Kiehl Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000774 MO Practitioner - Family PracticePractitioner - General Surgery 1658277876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron, MO 64429-2400

1608 E Evergreen St
Cameron, MO 64429-2400

221 E 7TH St
NW Mo OBGYN
Cameron, MO 64429-2400
Phone (816) 632-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.28 of 100Reported as group
Quality
38.51
Improvement activities
40
Cost
70.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20010215838MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center Inc Current Accepting new patients
Cameron Regional Medical Center Inc CurrentSince Jul 1, 2003 Accepting new patients
Cameron Regional Medical Center, Inc. CurrentSince Jul 1, 2003 Accepting new patients
N & R of Maysville, LLC Past Accepting new patients
Cameron Regional Medical Center Inc Past Accepting new patients
801 Opco LLC Past Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

221 E 7th St
Cameron, MO 64429
Phone (816) 632-2111

1007 S Polk St
Maysville, MO 64469
Phone (816) 445-2123

Interoperability endpoints

  • Direct secure messaging: elisa.vinyard@direct.mymlc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477525152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694030",
            "telephone_number": "816-449-2123",
            "fax_number": "816-449-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694030",
            "telephone_number": "816-449-2123",
            "fax_number": "816-449-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINYARD",
        "first_name": "ELISA",
        "middle_name": "EH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "20010215838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "KIEHL",
            "middle_name": "EH",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maysville, MO

Sources for this page

Verify at the official NPI Registry.