LARA FISCUS – Family Nurse Practitioner, NPI 1386290021

LARA FISCUS is a healthcare provider. based in Shawnee, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 53-78946-101 (KS). The NPI Number for LARA FISCUS is 1386290021

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LARA FISCUS
NPI
1386290021
Phone
Not provided
Address
22334 W 66TH ST
Enumeration Date
16 August 2019
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9138250909
Graduation Year
2019 (7 years ago)
PAC ID
0941532444
Group Practice PAC ID
9830289958
Professional Enrollment ID
I20191104000433
Address ID
KS662263560SH22334STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

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Provider Addresses for LARA FISCUS

  • 22334, West 66th Street, Monticello Farms, Shawnee, Johnson County, Kansas, 66226, United States

    SHAWNEE, KS 662263560

    Phone:

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $119.

Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Amgen Inc. ($106).

Total Amount

$119

General + Research + Ownership

Payments

2

Total payment records

General Amount

$119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-11-04

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
I20191104000433INurse 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 minutes8585$0
99214Established patient office or other outpatient visit, 30-39 minutes7064$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
99213Established patient office or other outpatient visit, 20-29 minutes3430$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen3030$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: 9830289958View full group profile
NameSpecialtyState
Nurse PractitionerKS
Family PracticeKS
Nurse PractitionerKS
Family PracticeKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What identifier follows LARA FISCUS across health systems?
The NPI 1386290021 uniquely identifies LARA FISCUS in U.S. healthcare data.
Is LARA FISCUS currently accepting referrals based on NPI status?
Registry metadata lists LARA FISCUS as active.
How should patients interpret LARA FISCUS's specialty?
The extract shows Family Nurse Practitioner for LARA FISCUS. Clinical services aligned with this taxonomy classification.
Which community is linked to LARA FISCUS?
LARA FISCUS shows a connection to Shawnee, Kansas in registry-derived data.
Who maintains LARA FISCUS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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