Madeline Fennessey

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2023008001 Issued in MO

Practice address

2330 E Meyer Blvd. Suite 411
Kansas City, MO 64132

Phone

(816) 363-2500

NPI assigned

May 8, 2023

Last updated

May 18, 2023By 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 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minimally Invasive Vascular Associates, LLCGroup PAC ID 0244620086, 3 clinicians

Practice addresses (Care Compare)

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

• Minimally Invasive Vascular Associates, LLC

  • Vascular & Interventional Radiology Physician
  • Independence, MO
  • NPI 1629749114
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1538858337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD. SUITE 411",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64132",
            "telephone_number": "816-363-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E MEYER BLVD. SUITE 411",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64132",
            "telephone_number": "816-363-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNESSEY",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "TMP-161410",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-82200-071",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023008001",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "TMP-161410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Elizabeth Felton-Church, M.D.
• Kathryn Felts, PHARM. D.
• Garrett Steven Fenley, RRT-NPS
• Stephanie Fennell, LPC
• Kimberly Fenner-Slaughter, LMT
• Lauren Fenstermann, APRN
• Kyra Fenton, RN, CNOR
• Rebecca M Ferber, RN, NP
• Patricia Lee Fergerson, RN
• Brett L Ferguson, DDS

• Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.