Kaely Marie Mayden, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-82397-012 Issued in KS

Practice address

201 NW R D Mize Rd # 214
Blue Springs, MO 64014-2513

Phone

(816) 655-5780

NPI assigned

May 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipc Pac Healthcare Services of Missouri IncGroup PAC ID 4587950589, 16 clinicians

CS Pacs 3 Midwest LLCGroup PAC ID 4183164734, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Medical Center Hospital, Blue Springs, MO, CCN 260193

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ipc Pac Healthcare Services of Missouri Inc

  • Hospitalist Physician
  • Sikeston, MO
  • NPI 1326497587

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• CS Pacs 3 Midwest LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1972368785

  KS, MO

  Medicare reassignment Care Compare group NPD
• Prime Healthcare Kansas City - Physician Services LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1427449487
  Medicare reassignment NPD
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1548563737
  Medicare reassignment NPD
• Kansas Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Colwich, KS
  • NPI 1124557020
  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  KS, MO

  Medicare reassignment NPD
• Inpatient Consultants of Kansas PA

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1225331002
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Services Blue Springs, LLC

  dba St. Mary's Medical Center

  • General Acute Care Hospital
  • Blue Springs, MO
  • NPI 1912303579
  Care Compare affiliation

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1518658418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW R D MIZE RD # 214",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142513",
            "telephone_number": "816-655-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW R D MIZE RD # 214",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142513",
            "telephone_number": "816-655-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NW R D Mize Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142513",
            "country_code": "US",
            "telephone_number": "816-655-5780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYDEN",
        "first_name": "KAELY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82397-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Martinez, PMHNP-BC
• Lennis J. Marvel, MSW
• Shareka Mason, LPC
• Matthew a Turner DDS PC
• L. Russell Matthias, DC
• McCob Styles (Dba Merle Norman Cosmetics)
• Heather Renee McCormick, RN
• Linda Jean McCormick, DO
• Dee Anna McCune, RPT
• Nikita McDaniel, DDS

• Nurse Practitioner in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.