STACIE KUBICSKO (APRN) – Family Nurse Practitioner, NPI 1104281633
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for STACIE KUBICSKO (APRN)
8550 MARSHALL DR
SUITE 220
LENEXA, KS 662141505
Phone: (913) 495-2221
Fax: (913) 495-2201
Type: Mailing
373 W 101ST TER
KANSAS CITY, MO 641144408
Phone: (816) 942-8200
Fax: (913) 495-3760
Type: Location
2820 E ROCK HAVEN RD STE 100
HARRISONVILLE, MO 647014413
Phone: (816) 380-3582
Fax: (816) 380-6964
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 161 Open Payments records for all available years, with a total value of $2,957.
Total Amount is formed as General ($2,957) + Research ($0) + Ownership ($0) = $2,957.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($327).
Total Amount
$2,957
General + Research + Ownership
Payments
161
Total payment records
General Amount
$2,957
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $327 |
| AstraZeneca Pharmaceuticals LP | $287 |
| Lilly USA, LLC | $253 |
| ABBVIE INC. | $207 |
| Novo Nordisk Inc | $202 |
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: 2016-02-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160205002227 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 190 | 138 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 112 | 91 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 27 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 66214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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