MARY ELIZABETH MEDFORD (ACNPC-AG) – Acute Care Nurse Practitioner, NPI 1346914090

MARY ELIZABETH MEDFORD (ACNPC-AG) is a healthcare provider. based in Shawnee, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNPC-AG. They hold a License No. 53-80387-122 (KS). The NPI Number for MARY ELIZABETH MEDFORD (ACNPC-AG) is 1346914090

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MARY ELIZABETH MEDFORD (ACNPC-AG)
NPI
1346914090
Phone
(701) 361-9431
Address
21905 W 51ST TER
Enumeration Date
5 August 2021
Last Update Date
5 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135881227
Graduation Year
2021 (5 years ago)
PAC ID
2264823301
Group Practice PAC ID
8921911587
Professional Enrollment ID
I20211227001132
Address ID
KS661600001KA4000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for MARY ELIZABETH MEDFORD (ACNPC-AG)

  • 21905 W 51ST TER

    SHAWNEE, KS 662263874

    Phone: (701) 361-9431

    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: 2021-12-27

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
I20211227001132INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4537$0
View full utilization report →

Insurance plans in this area (ZIP 66226)

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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: 8921911587View full group profile

Reviews

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Frequently asked questions

Is MARY ELIZABETH MEDFORD (ACNPC-AG) listed with a National Provider Identifier?
Yes — MARY ELIZABETH MEDFORD (ACNPC-AG) has NPI 1346914090 on file in the registry.
Active or inactive — what applies to MARY ELIZABETH MEDFORD (ACNPC-AG)?
You should see MARY ELIZABETH MEDFORD (ACNPC-AG) as active in CMS-hosted NPPES data.
What kind of doctor is MARY ELIZABETH MEDFORD (ACNPC-AG)?
MARY ELIZABETH MEDFORD (ACNPC-AG) is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MARY ELIZABETH MEDFORD (ACNPC-AG)?
Directory geography for MARY ELIZABETH MEDFORD (ACNPC-AG) centers on Shawnee, Kansas.
Does MARY ELIZABETH MEDFORD (ACNPC-AG) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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