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

Mia Talley, PA-C

Individual provider Physician Assistant · NPI 1225855018

Mia Talley, PA-C is a Physician Assistant in De Soto, Kansas. Qualified in 2024, 2 years ago. Practices with Shawnee Mission Medical Center Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024
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

8960 Commerce Dr Ste 4E
De Soto, KS 66018-8431
Phone: (913) 789-3961
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15-02978 (KS)

Record details

NPI number1225855018
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2024
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shawnee Mission Medical Center Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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