Healthcare Provider Details

I. General information

NPI: 1134451453
Provider Name (Legal Business Name): MELANIE ANN BEAL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE ANN JESKE RN

II. Dates (important events)

Enumeration Date: 02/11/2010
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 MAIN ST
LEXINGTON MO
64067-1345
US

IV. Provider business mailing address

8929 PARALLEL PKWY
KANSAS CITY KS
66112-1689
US

V. Phone/Fax

Practice location:
  • Phone: 660-259-2216
  • Fax:
Mailing address:
  • Phone: 913-596-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-76353-032
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2010004418
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2010004418
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: