Healthcare Provider Details

I. General information

NPI: 1144856980
Provider Name (Legal Business Name): CHELSEA E NEEL MSN, FPMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA E BOOMER

II. Dates (important events)

Enumeration Date: 03/12/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17421 MEDICAL CENTER PKWY
INDEPENDENCE MO
64057-1805
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 417-761-5000
  • Fax:
Mailing address:
  • Phone: 417-761-5000
  • Fax: 417-761-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2020008019
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023035774
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: