Kelli Maxwell

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77637 Issued in KS

Practice address

15604 Pinehurst Dr Ste 3
Basehor, KS 66007-8234

Phone

(913) 342-8665

NPI assigned

Mar 10, 2017

Last updated

Oct 16, 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 1

Addresses

Other names 1

• Kelli Pierce Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max-Well Urgent Care LLCGroup PAC ID 8729433669, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.08 of 100Reported as group

Quality

57.94

Promoting interoperability

99

Improvement activities

40

Cost

73.17

Merit-based Incentive Payment System (MIPS)

Final score

82.56 of 100Reported as group

Quality

76.07

Promoting interoperability

100

Improvement activities

40

Cost

65.79

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.

• Max-Well Urgent Care LLC

  • Urgent Care Clinic/Center
  • Basehor, KS
  • NPI 1326730367
  Medicare reassignment Care Compare group NPD Authorized official
• Emergent Care Plus of Overland Park, LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Leavenworth, KS
  • NPI 1811224371
  Medicare reassignment NPD
• Prime Healthcare Physician Services - Providence Inc

  dba Providence Medical Group

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213
  Medicare reassignment NPD
• Max-Well Primary Care LLC

  • Family Medicine Physician
  • Basehor, KS
  • NPI 1144106121
  NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD
• Emergent Care Plus, LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Lee's Summit, MO
  • NPI 1396923181
  NPD (past)

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1790226744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR STE 3",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078234",
            "telephone_number": "913-342-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15604 PINEHURST DR STE 3",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660078234",
            "telephone_number": "913-342-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 S 4th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485071",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "fax_number": "913-680-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14675 170th Street",
            "address_purpose": "LOCATION",
            "city": "Bonner Springs",
            "state": "KS",
            "postal_code": "66012",
            "country_code": "US",
            "telephone_number": "913-271-5878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1903 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "KS",
            "postal_code": "664391238",
            "country_code": "US",
            "telephone_number": "785-879-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "PIERCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karina Martinez
• Tiffany Mashak
• Kiley Maurer
• Max-Well Primary Care LLC
• Max-Well Urgent Care LLC
• Melissa May
• Susan McAlexander
• Ross Eugene McCoy, MSW
• Ashley McDonald
• Joey McDowell

• Family Nurse Practitioner in Basehor, KS
• Providers in Basehor, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.