Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Elizabeth Quesenberry, PA-C

Individual provider Physician Assistant · NPI 1568009488

Mallory Elizabeth Quesenberry, PA-C is a Physician Assistant in Lees Summit, Missouri. Qualified in 2019, 7 years ago. Practices with Clay Platte Family Medicine Clinic, a 25-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3601 NE Ralph Powell Rd Ste C
Lees Summit, MO 64064-2316
Phone: (816) 285-5053
Fax: (816) 842-1974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020001927 (MO)

Record details

NPI number1568009488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Clay Platte Family Medicine Clinic — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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