Individual provider Active NPI

Mya Stayton, DO

  • Family Medicine Physician
  • Richmond, MO
National Provider Identifier
1891289716
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021034881 Issued in MO
Practice address
902 Wollard Blvd
Richmond, MO 64085-2229
Phone
(816) 776-2201
Fax
(816) 480-4515
NPI assigned
Jun 15, 2018
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 L.4746 AL
Family Medicine Physician 207Q00000X 2021034881 MO Primary

Addresses

Primary practice location

902 Wollard Blvd
Richmond, MO 64085-2229

Mailing address

902 Wollard Blvd
Richmond, MO 64085-2229
Phone (816) 776-2201

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210907000378 MO Practitioner - Family Practice 9830595578 Reassigns benefits to 2 organizations
I20230621001172 KS Practitioner - Family Practice 9830595578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

17700 E 39TH St S
Independence, MO 64055-6725
Phone (816) 393-0250

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021034881MOMDFamily Medicine Physician
L.4746ALMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Mar 3, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Oct 1, 2021 Accepting new patients
Meritas Health Corporation CurrentSince Oct 1, 2021 Accepting new patients
Meritas Health Corporation Family Medicine Current Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Meritas Health Corporation Family Medicine Past Accepting new patients

Locations

13761 Metcalf Ave
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

17700 E 39th St S
Independence, MO 64055
Phone (816) 393-0250

902 Wollard Blvd
Richmond, MO 64085
Phone (816) 772-2201

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1891289716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852229",
            "telephone_number": "816-776-2201",
            "fax_number": "816-480-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852229",
            "telephone_number": "816-776-2201",
            "fax_number": "816-480-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYTON",
        "first_name": "MYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4746",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2021034881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MO

Sources for this page

Verify at the official NPI Registry.