KELLY LAINE MCGUIRE (FNP) – Family Nurse Practitioner, NPI 1053933598

KELLY LAINE MCGUIRE (FNP) is a healthcare provider. based in Pittsburg, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 79138 (KS). The NPI Number for KELLY LAINE MCGUIRE (FNP) is 1053933598

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LAINE MCGUIRE (FNP)
NPI
1053933598
Phone
Not provided
Address
3011 N MICHIGAN ST
Enumeration Date
7 May 2020
Last Update Date
11 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6202514300
Graduation Year
2019 (7 years ago)
PAC ID
1759702400
Group Practice PAC ID
7911816392
Professional Enrollment ID
I20200604000940
Address ID
KS673374109CO801XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for KELLY LAINE MCGUIRE (FNP)

  • 3011 N MICHIGAN ST

    PITTSBURG, KS 667622546

    Phone:

    Type: Mailing

  • 801 W 8TH ST

    COFFEYVILLE, KS 673374109

    Phone: (620) 251-4300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200604000940INurse PractitionerKSTBD

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 test2018$0
View full utilization report →

Insurance plans in this area (ZIP 66762)

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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: 7911816392View full group profile
NameSpecialtyState
Nurse PractitionerKS
-KS
Nurse PractitionerKS
Physician AssistantKS
Nurse PractitionerKS
Nurse PractitionerKS
General Practice, Family PracticeKY
Nurse PractitionerKS
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What unique ID ties claims to KELLY LAINE MCGUIRE (FNP)?
NPI 1053933598 is assigned to KELLY LAINE MCGUIRE (FNP) under the national enumeration system.
Does this profile mean KELLY LAINE MCGUIRE (FNP) is currently active?
Yes — KELLY LAINE MCGUIRE (FNP) appears active in the national provider directory.
What kind of provider is KELLY LAINE MCGUIRE (FNP)?
The page reflects Family Nurse Practitioner for KELLY LAINE MCGUIRE (FNP). Clinical services aligned with this taxonomy classification.
Where is KELLY LAINE MCGUIRE (FNP)'s primary listing?
We display Pittsburg, Kansas because that is what the record indicates for KELLY LAINE MCGUIRE (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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