Individual provider Active NPI

Nicholas Wayne Yeisley, MD, MPH

  • Family Medicine Physician
  • Kansas City, MO
National Provider Identifier
1881334381
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024000219 Issued in MO
Practice address
1916 Grand Blvd
Kansas City, MO 64108-1803
Phone
(816) 404-4862
NPI assigned
Mar 31, 2022
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 2024000219 MO Primary

Addresses

Primary practice location

1916 Grand Blvd
Kansas City, MO 64108-1803

Mailing address

1811 S Norwood Ave
Independence, MO 64052-3939

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721003225 MO Practitioner - Family Practice 2860908449 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Excelsior Springs City HospitalGroup PAC ID 7315847209, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital Family Medicine CurrentSince Dec 31, 2025 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Macon County Samaritan Hospital CurrentSince Apr 15, 2025 Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients

Locations

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

Organizations & group practices 4

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 3

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1881334381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S NORWOOD AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640523939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GRAND BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081803",
            "telephone_number": "816-404-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEISLEY",
        "first_name": "NICHOLAS",
        "middle_name": "WAYNE",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024000219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.