DEBORAH DAWN MCKIBBEN (FNP-BC) – Family Nurse Practitioner, NPI 1245077627

DEBORAH DAWN MCKIBBEN (FNP-BC) is a healthcare provider. based in Cummings, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 2025027366 (MO). The NPI Number for DEBORAH DAWN MCKIBBEN (FNP-BC) is 1245077627

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH DAWN MCKIBBEN (FNP-BC)
NPI
1245077627
Phone
(913) 370-5333
Address
3928 NEOSHO RD
Enumeration Date
11 July 2024
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163930250
Graduation Year
2024 (2 years ago)
PAC ID
7810436136
Group Practice PAC ID
8527340702
Professional Enrollment ID
I20251118001054
Address ID
MO640556725IN17700SXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:1State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for DEBORAH DAWN MCKIBBEN (FNP-BC)

  • 3928 NEOSHO RD

    CUMMINGS, KS 660169063

    Phone: (913) 370-5333

    Type: Mailing

  • 535 S FREEBORN ST

    MARION, KS 668611256

    Phone: (620) 382-2177

    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: 2025-11-18

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
I20240829003201INurse PractitionerKSTBD
I20251118001054INurse PractitionerMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66016)

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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: 8527340702View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Family PracticeKS
-MO
Family PracticeKS
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Family PracticeMO
-KS

Reviews

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Frequently asked questions

Can I verify DEBORAH DAWN MCKIBBEN (FNP-BC) with an NPI only?
You can start verification with NPI 1245077627 for DEBORAH DAWN MCKIBBEN (FNP-BC), then check state licensing separately.
Is DEBORAH DAWN MCKIBBEN (FNP-BC) listed as active for patients and plans?
The listing shows DEBORAH DAWN MCKIBBEN (FNP-BC) as active in the NPI system.
What is DEBORAH DAWN MCKIBBEN (FNP-BC)'s specialty?
The listing groups DEBORAH DAWN MCKIBBEN (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect DEBORAH DAWN MCKIBBEN (FNP-BC) on a map?
Expect Cummings, Kansas as a primary anchor for DEBORAH DAWN MCKIBBEN (FNP-BC) unless the record lists multiple sites.
Is the information about DEBORAH DAWN MCKIBBEN (FNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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