MADELINE FENNESSEY – Nurse Practitioner, NPI 1538858337

MADELINE FENNESSEY is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. TMP-161410 (KS). The NPI Number for MADELINE FENNESSEY is 1538858337

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MADELINE FENNESSEY
NPI
1538858337
Phone
(816) 363-2500
Address
2330 E MEYER BLVD. SUITE 411
Enumeration Date
8 May 2023
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8166486482
Graduation Year
2022 (4 years ago)
PAC ID
0042672388
Group Practice PAC ID
0244620086
Professional Enrollment ID
I20230817002510
Address ID
MO640578320IN4200XPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:3State licenses:3Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MADELINE FENNESSEY

  • 2330 E MEYER BLVD. SUITE 411

    KANSAS CITY, MO 64132

    Phone: (816) 363-2500

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-03-16 • Largest payer in this snapshot: Impulse Dynamics (USA) Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230817002510INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244620086View full group profile
NameSpecialtyState
Diagnostic RadiologyMO
Interventional RadiologyMO

Reviews

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Frequently asked questions

What is the registry number for MADELINE FENNESSEY?
The registry entry for MADELINE FENNESSEY shows NPI 1538858337.
Does the public listing show MADELINE FENNESSEY as active?
MADELINE FENNESSEY's NPI record reflects an active status in NPPES.
What type of care does MADELINE FENNESSEY provide?
MADELINE FENNESSEY's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MADELINE FENNESSEY?
The directory associates MADELINE FENNESSEY with Kansas City, Missouri. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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