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

Mrs. Kaely Marie Mayden, AGNP-C

Individual provider Nurse Practitioner · NPI 1518658418

Mrs. Kaely Marie Mayden, AGNP-C is a Nurse Practitioner in Blue Springs, Missouri. Qualified in 2023, 3 years ago. Practices with Ipc PAC Healthcare Services of Missouri Inc, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
3
Licensed in
KS
In the registry since
2023
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Practice location Address checks out

201 NW R D Mize Rd # 214
Blue Springs, MO 64014-2513
Phone: (816) 655-5780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 — (816) 655-5780

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 53-82397-012 (KS)

Record details

NPI number1518658418
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ipc Pac Healthcare Services Of Missouri Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Blue Springs