Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Elizabeth Medford, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1346914090

Mary Elizabeth Medford, ACNPC-AG is a Nurse Practitioner in Shawnee, Kansas. Qualified in 2021, 5 years ago. Practices with Kansas University Physicians Inc, a 1,819-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
5
Licensed in
KS, MO
In the registry since
2021
Specialties on file
2

Practice location Address checks out

21905 W 51st Ter
Shawnee, KS 66226-3874
Phone: (701) 361-9431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2021030039 (MO)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 53-80387-122 (KS)

Record details

NPI number1346914090
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kansas University Physicians Inc — 1819 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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