Active NPI
Nicholas Wayne Yeisley, MD, MPH
- Family Medicine Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2024000219
- Practice address
- 1916 Grand Blvd
Kansas City, MO 64108-1803 - Phone
- (816) 404-4862
- NPI assigned
- Mar 31, 2022
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Excelsior Springs City Hospital
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Springs City Hospital | Family Medicine | Current | Accepting new patients |
| Excelsior Springs City Hospital | Current | Accepting new patients | |
| Macon County Samaritan Hospital | Current | Accepting new patients | |
| Excelsior Springs City Hospital | Current | 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.
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
-
dba Excelsior Springs Hospital
- Emergency Medicine Physician
- Excelsior Springs, MO
- NPI 1285733923
Family Medicine
-
dba Excelsior Springs Hospital
- Critical Access Hospital
- Excelsior Springs, MO
- NPI 1609870310
-
dba Excelsior Springs City Hospital Pharmacy
- Clinic Pharmacy
- Excelsior Springs, MO
- NPI 1487754149
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Excelsior Springs Hospital
- Critical Access Hospital
- Excelsior Springs, MO
- NPI 1609870310
-
dba Excelsior Springs Hospital
- Medicare Defined Swing Bed Hospital Unit
- Excelsior Springs, MO
- NPI 1740387174
Nursing home
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.