KIERRA K CALICO (APRN) – Family Nurse Practitioner, NPI 1003567215

KIERRA K CALICO (APRN) is a healthcare provider. based in Fort leavenworth, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209028348 (IL). The NPI Number for KIERRA K CALICO (APRN) is 1003567215

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KIERRA K CALICO (APRN)
NPI
1003567215
Phone
Not provided
Address
123 KING AVE
Enumeration Date
10 January 2022
Last Update Date
3 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145676071
Graduation Year
2021 (5 years ago)
PAC ID
3678951209
Group Practice PAC ID
6204723786
Professional Enrollment ID
I20230721000932
Address ID
MO631418657SA12855DRXX407
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:4State licenses:3Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KIERRA K CALICO (APRN)

  • 123 KING AVE

    FORT LEAVENWORTH, KS 660271206

    Phone:

    Type: Mailing

  • 650 MARYVILLE UNIVERSITY DR

    SAINT LOUIS, MO 631415849

    Phone: (800) 627-9855

    Type: Location

  • 12855 N 40 Dr Ste 350

    Saint Louis, MO 631418669

    Phone: (314) 567-6071

    Type: Location

  • 6812 State Route 162 Ste 200

    Maryville, IL 620628562

    Phone: (618) 288-0900

    Fax: (618) 288-0909

    Type: Location

  • 326 Fountains Pkwy

    Fairview Heights, IL 622082041

    Phone: (618) 277-3109

    Fax: (314) 453-4931

    Type: Location

  • 12855 N 40 DR STE 375

    SAINT LOUIS, MO 631418657

    Phone: (314) 567-6071

    Fax: (314) 453-9965

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 74 Open Payments records for all available years, with a total value of $2,766.

Total Amount is formed as General ($2,766) + Research ($0) + Ownership ($0) = $2,766.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($662).

Total Amount

$2,766

General + Research + Ownership

Payments

74

Total payment records

General Amount

$2,766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220609001661INurse PractitionerKSTBD
I20230721000932INurse PractitionerMOTBD
I20231017000118INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test5856$0
99214Established patient office or other outpatient visit, 30-39 minutes5855$0
51798Ultrasound measurement of bladder capacity after voiding5754$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 66027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204723786View full group profile
NameSpecialtyState
N E U R O S U R G E R YMO
Physician AssistantIL
Physician AssistantOK
N E U R O S U R G E R YMO
-MO
Qualified AudiologistMO
Nurse PractitionerMO
U R O L O G YMO
Otolaryngology, Plastic And Reconstructive SurgeryMO
Physician AssistantMO

Reviews

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Frequently asked questions

Does KIERRA K CALICO (APRN) have a public NPI I can cite?
Public records show KIERRA K CALICO (APRN) under NPI 1003567215.
Should I treat KIERRA K CALICO (APRN) as an active provider?
Patients and plans typically see KIERRA K CALICO (APRN) as active in the national extract.
How should patients interpret KIERRA K CALICO (APRN)'s specialty?
The extract shows Family Nurse Practitioner for KIERRA K CALICO (APRN). Clinical services aligned with this taxonomy classification.
What city is tied to KIERRA K CALICO (APRN)?
The directory associates KIERRA K CALICO (APRN) with Fort Leavenworth, Kansas. Check all listed addresses for suites or satellite offices.
Can I export KIERRA K CALICO (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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