Kendrick R Maus, NP
Individual provider Active NPI Family Nurse Practitioner · Appleton City, MO
NPI 1992367502 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1992367502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2019022247 (MO)
- Practice address
- 610 N Ohio St
Appleton City, MO 64724-1609 - Phone
- (660) 476-2111
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Memorial Hospital District
Practice addresses (Care Compare)
408 E 7TH St
Ac Rural Health Clinic
Appleton City, MO 64724-1617
Phone (660) 476-2121
Hospital & facility affiliations
- Ellett Memorial Hospital
- Ellett Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718001012 | MO | Practitioner - Nurse Practitioner | 4284969825 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019022247 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Community Memorial Hospital District | Current |
Accepting new patients | |
| Mercy Hospital Carthage | Current |
Accepting new patients | |
| Community Memorial Hospital District | Past | Accepting new patients |
Locations
408 E 7th St
Appleton City, MO 64724
Phone (660) 476-2111
610 N Ohio St
Appleton City, MO 64724
Phone (660) 476-2111
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019022247 | MO | Yes |
Addresses
Primary practice location
610 N Ohio St
Appleton City, MO 64724-1609
Mailing address
610 N Ohio St
Appleton City, MO 64724-1609
Phone (660) 476-2111
Other practice location 1
408 E 7th St
Appleton City, MO 64724-1617
Phone (660) 476-2121
Other providers in Appleton City, MO
- Community Memorial Hospital District
- Community Memorial Hospital District
- Anna Victoria Love Crusha
- Shawnda Rachelle Davis
- Paige Martin
- Lauren Jane Miller
- Jamie O'Farrell
- Donald Clifford Payton Jr.
- Delana Ann Poore
- Aubrey L Siegismund
All providers in Appleton City, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.