MADDISON PEARL SELLEY FNP-C NPI 1033922604

NPI Information

  • NPI: 1033922604
  • Provider Name: MADDISON PEARL SELLEY, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 110 NE SAINT LUKES BLVD STE 530
    LEES SUMMIT, MO
    ZIP 64086
  • Phone: (816) 554-3838

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NPI Details

Maddison Pearl Selley, FNP-C is a family nurse practitioner in Lees Summit, MO. Maddison Pearl Selley, FNP-C NPI is 1033922604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

110 NE SAINT LUKES BLVD STE 530
LEES SUMMIT, MO
ZIP 64086-075
Phone: (816) 554-3838
Fax: (816) 554-1634

The NPI 1033922604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/28/2025 and was last updated on 1/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2025002303MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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