LAKYNN CLARICE BURRIS (PA) – Physician Assistant, NPI 1417515727

LAKYNN CLARICE BURRIS (PA) is a healthcare provider. based in Arkansas city, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for LAKYNN CLARICE BURRIS (PA) is 1417515727

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
LAKYNN CLARICE BURRIS (PA)
NPI
1417515727
Phone
(620) 506-8660
Address
10247 QUAIL LN
Enumeration Date
1 June 2019
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6204422500
Graduation Year
2019 (7 years ago)
PAC ID
9931532009
Group Practice PAC ID
1456245802
Professional Enrollment ID
I20191203001895
Address ID
KS670055701AR6403XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for LAKYNN CLARICE BURRIS (PA)

  • Quail Lane, Emmons, Monroe County, Arkansas, United States

    ARKANSAS CITY, KS 670056515

    Phone: (620) 506-8660

    Type: Location

  • 10202 W 13TH ST N

    WICHITA, KS 672124377

    Phone: (316) 729-9100

    Fax: (316) 729-9185

    Type: Mailing

  • 6401 PATTERSON PKWY

    ARKANSAS CITY, KS 670055701

    Phone: (620) 442-2100

    Type: Mailing

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: 2019-12-03

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
I20191203001895IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes139126$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg9211$0
81002Urinalysis, manual test3130$0
99214Established patient office or other outpatient visit, 30-39 minutes2625$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 67005)

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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: 1456245802View full group profile
NameSpecialtyState
-KS
Family PracticeIA
Family PracticeKS
Certified Registered Nurse Anesthetist (Crna)KS
Orthopedic SurgeryKS
Nurse PractitionerKS
Nurse PractitionerKS
-KS
Physician AssistantKS
-OK

Reviews

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Frequently asked questions

How is LAKYNN CLARICE BURRIS (PA) identified in CMS data?
CMS-hosted NPPES data lists LAKYNN CLARICE BURRIS (PA) with NPI 1417515727.
Can I rely on LAKYNN CLARICE BURRIS (PA) being an active provider?
As of the registry snapshot, LAKYNN CLARICE BURRIS (PA) is marked active.
What taxonomy line describes LAKYNN CLARICE BURRIS (PA)?
For research purposes, treat LAKYNN CLARICE BURRIS (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect LAKYNN CLARICE BURRIS (PA) on a map?
Expect Arkansas City, Kansas as a primary anchor for LAKYNN CLARICE BURRIS (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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