MADELYN DOUGLAS PA
NPI 1477499523
Physician Assistant - Medical in Kansas City, MO

Active since April 28, 2026PECOS Enrolled
4321 WASHINGTON ST STE 3000, KANSAS CITY, MO 64111(816) 932-3100 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madelyn Douglas Pa NPPES

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

MADELYN DOUGLAS PA (NPI 1477499523) is an individual medical provider in Kansas City, Missouri, licensed in Missouri (2026006731) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477499523
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADELYN DOUGLASCredential: PA
Location Address4321 WASHINGTON ST STE 3000Kansas City, MO 64111-5928
Mailing Address514 Nw Ward RdLees Summit, MO 64063-1871
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
NPI 1477499523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2026006731
4321 WASHINGTON ST STE 3000, Kansas City, MO 64111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madelyn Douglas Pa 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.

Other Providers at the Same Location NPPES 18

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

Nurse Practitioner (Adult Health)
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Pharmacist
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Family Medicine
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Physician Assistant (Medical)
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Family Medicine (Sports Medicine)
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111
Nurse Practitioner (Family)
4321 WASHINGTON ST STE 3000
KANSAS CITY, MO 64111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madelyn Douglas's NPI number?

The NPI number for Madelyn Douglas is 1477499523. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Madelyn Douglas located?

Madelyn Douglas practices at 4321 Washington St Ste 3000, Kansas City, MO 64111. The listed phone number is (816) 932-3100.

What is Madelyn Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madelyn Douglas enrolled in Medicare?

Yes. Madelyn Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madelyn Douglas was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.