Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADYSON M RENNER PA-C
NPI 1093641342
Physician Assistant in Kansas City, MO

Q: What is Madyson Renner's NPI number?

The NPI number for Madyson Renner is 1093641342. It was assigned to this individual provider in the NPPES registry on June 23, 2026. The provider is also known as Madyson Marie Lee.

Q: What is Madyson Renner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Madyson Renner was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2026PECOS Enrolled

4400 BROADWAY BLVD STE 520, KANSAS CITY, MO 64111(816) 960-7600 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Madyson M Renner Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADYSON M RENNER PA-C (NPI 1093641342) is an individual physician assistant in Kansas City, Missouri, licensed in Missouri (2026038298) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093641342

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADYSON M RENNERCredential: PA-C

Location Address4400 BROADWAY BLVD STE 520Kansas City, MO 64111-3342

Mailing Address901 E 104th St # Ms 400sKansas City, MO 64131-4517 · (816) 960-7600

Phone(816) 960-7600

Sole ProprietorNo

Enumeration DateJune 23, 2026

Last NPPES UpdateSeptember 10, 2026

NPPES CertifiedSeptember 10, 2026

✔ NPI 1093641342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2026038298

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4400 BROADWAY BLVD STE 520, Kansas City, MO 64111

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Other Names 1

Other Name (5)Madyson Marie Lee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madyson M Renner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $55.29 – $168.52

Typical copayment $21.45 (range $13.82 – $42.13)

Most-billed visit code 99203

Established Patient

$69.10 typical visit price

range $17.60 – $137.20

Typical copayment $17.27 (range $4.40 – $34.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET EMILY NAYLOR RN

Nurse Practitioner (Family)