JENNIFER UTTERBACK (APRN-C) – Family Nurse Practitioner, NPI 1174959365

JENNIFER UTTERBACK (APRN-C) is a healthcare provider. based in Prairie village, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-C. They hold a License No. 65688 (NM). The NPI Number for JENNIFER UTTERBACK (APRN-C) is 1174959365

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER UTTERBACK (APRN-C)
NPI
1174959365
Phone
(816) 830-4285
Address
8010 State Line Rd Ste 100
Enumeration Date
19 September 2013
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162825000
Graduation Year
2013 (13 years ago)
PAC ID
8224267596
Group Practice PAC ID
1951766559
Professional Enrollment ID
I20140207000511
Address ID
MO640631007LE2100XPKWY403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for JENNIFER UTTERBACK (APRN-C)

  • 8010 State Line Rd Ste 100

    Prairie Village, KS 662083711

    Phone: (816) 830-4285

    Fax: (913) 400-3631

    Type: Location

  • 1901 Red Rock Dr

    Gallup, NM 873015683

    Phone: (505) 863-7393

    Fax: (660) 862-7330

    Type: Location

  • 403 Burkarth Rd

    Warrensburg, MO 640933101

    Phone: (660) 626-7301

    Fax: (660) 626-7725

    Type: Location

  • 201 NW R D MIZE RD

    EMERGENCY DEPARTMENT

    BLUE SPRINGS, MO 640142513

    Phone: (816) 655-5472

    Type: Mailing

  • 20 NW R.D. MIZE ROAD

    EMERGENCY DEPARTMENT

    BLUE SPRINGS, MO 640144411

    Phone: (816) 655-5472

    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: 2022-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140207000511INurse PractitionerMOTBD
I20220310001918INurse PractitionerNMTBD

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
99284Emergency department visit with moderate level of medical decision making118116$0
99285Emergency department visit with high level of medical decision making107104$0
99283Emergency department visit with low level of medical decision making2727$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2525$0
View full utilization report →

Insurance plans in this area (ZIP 66208)

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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: 1951766559View full group profile
NameSpecialtyState
Emergency MedicineMO
Nurse PractitionerMO
Emergency MedicineVA
Emergency Medicine, Family PracticeTN
Emergency MedicineOH
Nurse PractitionerMO
Emergency MedicineNH
Emergency MedicineMO
Emergency MedicineOK
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I cross-check JENNIFER UTTERBACK (APRN-C) using NPI 1174959365?
NPI 1174959365 belongs to JENNIFER UTTERBACK (APRN-C); compare other details if you need extra assurance.
Is there an active status for JENNIFER UTTERBACK (APRN-C)?
For scheduling context, JENNIFER UTTERBACK (APRN-C) is shown as active in the registry.
How would a patient describe JENNIFER UTTERBACK (APRN-C)'s focus?
For JENNIFER UTTERBACK (APRN-C), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kansas is JENNIFER UTTERBACK (APRN-C) registered?
Use Prairie Village, Kansas as the headline location for JENNIFER UTTERBACK (APRN-C) here.
Can I trust this NPI listing for JENNIFER UTTERBACK (APRN-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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