MRS. ANIKA HARTLEY (PA-C) – Physician Assistant, NPI 1336011394

MRS. ANIKA HARTLEY (PA-C) is a healthcare provider. based in Lawrence, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 15-03150 (KS). The NPI Number for MRS. ANIKA HARTLEY (PA-C) is 1336011394

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MRS. ANIKA HARTLEY (PA-C)
NPI
1336011394
Phone
(785) 371-4921
Address
1811 WAKARUSA DR STE 102
Enumeration Date
19 September 2025
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853714921
Graduation Year
2025 (1 year ago)
PAC ID
8820570641
Group Practice PAC ID
8820357908
Professional Enrollment ID
I20260302002931
Address ID
KS660472082LA1811XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for MRS. ANIKA HARTLEY (PA-C)

  • 1811 WAKARUSA DR STE 102

    LAWRENCE, KS 660472082

    Phone: (785) 371-4921

    Mailing address matches the actual address.

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: 2026-03-02

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
I20260302002931IPhysician AssistantKSTBD

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 66047)

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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: 8820357908View full group profile
NameSpecialtyState
Physician AssistantMO
Physician AssistantKS
Nurse PractitionerKS
P S Y C H I A T R YKS

Reviews

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Frequently asked questions

What federal number belongs to MRS. ANIKA HARTLEY (PA-C)?
The federal identifier for MRS. ANIKA HARTLEY (PA-C) is NPI 1336011394.
Is MRS. ANIKA HARTLEY (PA-C) currently active in the NPI registry?
CMS-published data lists MRS. ANIKA HARTLEY (PA-C) as an active registrant.
What field does MRS. ANIKA HARTLEY (PA-C) work in?
You can think of MRS. ANIKA HARTLEY (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MRS. ANIKA HARTLEY (PA-C)?
We surface Lawrence, Kansas for MRS. ANIKA HARTLEY (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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