Kendrick R Maus, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2019022247 Issued in MO

Practice address

610 N Ohio St
Appleton City, MO 64724-1609

Phone

(660) 476-2111

NPI assigned

Jul 3, 2019

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Hospital DistrictGroup PAC ID 0345153680, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellett Memorial Hospital Hospital, Appleton City, MO, CCN 261301
• Ellett Memorial Hospital Nursing home, CCN 26Z301

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.

• Community Memorial Hospital District

  dba AC Rural Health Clinic

  • Family Medicine Physician
  • Appleton City, MO
  • NPI 1619117256
  Medicare reassignment Care Compare group NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955
  Medicare reassignment NPD
• Mercy Hospital Carthage

  • Family Medicine Physician
  • Carthage, MO
  • NPI 1558628222
  NPD
• Community Memorial Hospital District

  dba Ellett Memorial Hospital

  • Critical Access Hospital
  • Appleton City, MO
  • NPI 1609894716
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Memorial Hospital District

  dba Ellett Memorial Hospital

  • Critical Access Hospital
  • Appleton City, MO
  • NPI 1609894716
  Care Compare affiliation
• Community Memorial Hospital District

  dba Ellett Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Appleton City, MO
  • NPI 1992730261

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1992367502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N OHIO ST",
            "city": "APPLETON CITY",
            "state": "MO",
            "postal_code": "647241609",
            "telephone_number": "660-476-2111",
            "fax_number": "660-476-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N OHIO ST",
            "city": "APPLETON CITY",
            "state": "MO",
            "postal_code": "647241609",
            "telephone_number": "660-476-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Appleton City",
            "state": "MO",
            "postal_code": "647241617",
            "country_code": "US",
            "telephone_number": "660-476-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUS",
        "first_name": "KENDRICK",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019022247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Memorial Hospital District (AC Rural Health Clinic)
• Community Memorial Hospital District (Ellett Memorial Hospital)
• Anna Victoria Love Crusha, M.S. CCC-SLP
• Shawnda Rachelle Davis, OTR/L
• Paige Martin, M.S., CCC-SLP
• Lauren Jane Miller, FNP
• Jamie O'Farrell, FNP-BC
• Donald Clifford Payton Jr., DDS
• Delana Ann Poore, LPC
• Aubrey L Siegismund, M.S., CCC-SLP

• Family Nurse Practitioner in Appleton City, MO
• Providers in Appleton City, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.