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Charles Edward Mahon , LPN

Licensed Practical Nurse • Lees Summit, MO

Active NPI 1073065504 Individual Practitioner Male Practitioner
Practice location in NPPES

901 Ne Independence Ave
Lees Summit, MO 640865544

Call 8165815899 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

901 Ne Independence Ave

Lees Summit, MO 640865544

Telephone 8165815899
Fax 8163473046
Organization at the Same NPPES Address or Phone
Rediscover Facility NPI 1841235298

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lees Summit and Missouri

12 active clinicians are listed under Licensed Practical Nurse with a practice address in Lees Summit, MO (777 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lees Summit

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES MO 2016017975

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1407142094

Doctor of Medicine (M.D.)

Samantha Dufva , LCSW

Social Worker - Clinical

NPI 1922354109

Licensed Clinical Social Worker

Laurel Owens , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104073907

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History

NPI enumerated November 01, 2016.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1073065504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2016
Last Update: November 01, 2016
Sole Proprietor: Yes

Mailing Address

1103 Grand Blvd

Kansas City, MO 641062404

Phone: 9134240860

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.