| Kelli Maxwell, | |
|
15604 Pinehurst Dr Ste 3, Basehor, KS 66007-8234 | |
| (913) 342-8665 | |
| Not Available |
| Full Name | Kelli Maxwell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 15604 Pinehurst Dr Ste 3, Basehor, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790226744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 77637 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Max-well Urgent Care Llc | 8729433669 | 6 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
| Entity Name | Emergent Care Plus Of Overland Park Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811224371 PECOS PAC ID: 8123153939 Enrollment ID: O20100318000649 |
| Entity Name | Prime Healthcare Physician Services - Providence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356683213 PECOS PAC ID: 1052553906 Enrollment ID: O20130806000598 |
| Entity Name | Max-well Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326730367 PECOS PAC ID: 8729433669 Enrollment ID: O20231012000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Maxwell, 15604 Pinehurst Dr Ste 3, Basehor, KS 66007-8234 Ph: (913) 342-8665 | Kelli Maxwell, 15604 Pinehurst Dr Ste 3, Basehor, KS 66007-8234 Ph: (913) 342-8665 |
Sylvia Michelle Gillis, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15604 Pinehurst Dr Ste 2, Basehor, KS 66007 Phone: 913-728-2200 Fax: 913-728-2230 |