RUSSELL WL VANDERLINDEN (FNP) – Family Nurse Practitioner, NPI 1205260577

RUSSELL WL VANDERLINDEN (FNP) is a healthcare provider. based in Leawood, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2013030774 (MO). The NPI Number for RUSSELL WL VANDERLINDEN (FNP) is 1205260577

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL WL VANDERLINDEN (FNP)
NPI
1205260577
Phone
(913) 428-8000
Address
4800 W 135th St Ste 190
Enumeration Date
22 August 2013
Last Update Date
26 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8165542600
Graduation Year
2013 (13 years ago)
PAC ID
9931425949
Group Practice PAC ID
0547328460
Professional Enrollment ID
I20150311000602
Address ID
MO640647880LE2741XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for RUSSELL WL VANDERLINDEN (FNP)

  • 4800 W 135th St Ste 190

    Leawood, KS 662248721

    Phone: (913) 428-8000

    Fax: (913) 428-8001

    Type: Location

  • PO BOX 226

    EXCELSIOR SPRINGS, MO 640240226

    Phone: (816) 520-1710

    Fax: (000) 000-0000

    Type: Mailing

  • 1860 N CHURCH RD

    LIBERTY, MO 640687179

    Phone: (816) 415-2828

    Fax: (816) 883-2993

    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: 2019-08-30

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
I20150311000602INurse PractitionerMOTBD
I20190830001925INurse 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
99204New patient office or other outpatient visit, 45-59 minutes137137$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9812$0
99214Established patient office or other outpatient visit, 30-39 minutes7969$0
87804Detection test by immunoassay with direct visual observation for influenza virus3431$0
81003Automated urinalysis test2624$0
View full utilization report →

Insurance plans in this area (ZIP 66224)

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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: 0547328460View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Physician AssistantBAVARIA
Family PracticeCO
Nurse PractitionerMO
-KS
Nurse PractitionerMO
Internal Medicine, Preventive MedicineMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the standard ID for RUSSELL WL VANDERLINDEN (FNP) in the U.S.?
In the U.S., RUSSELL WL VANDERLINDEN (FNP) is identified by NPI 1205260577.
Does the public listing show RUSSELL WL VANDERLINDEN (FNP) as active?
RUSSELL WL VANDERLINDEN (FNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits RUSSELL WL VANDERLINDEN (FNP)?
NPPES ties RUSSELL WL VANDERLINDEN (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RUSSELL WL VANDERLINDEN (FNP)?
RUSSELL WL VANDERLINDEN (FNP) is associated with Leawood, Kansas in the same public data insurers reference.
Who maintains RUSSELL WL VANDERLINDEN (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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