DR. SHARISSA BETH MABRY (M.D.) – Family Medicine Physician, NPI 1467605188

DR. SHARISSA BETH MABRY (M.D.) is a healthcare provider. based in Prairie village, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 250857 (NY). The NPI Number for DR. SHARISSA BETH MABRY (M.D.) is 1467605188

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHARISSA BETH MABRY (M.D.)
NPI
1467605188
Phone
(913) 945-9680
Address
7301 MISSION RD STE 350
Enumeration Date
25 October 2008
Last Update Date
30 December 2023

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9135888400
Graduation Year
2006 (20 years ago)
PAC ID
1658542998
Group Practice PAC ID
8123928900
Professional Enrollment ID
I20170607003174
Address ID
KS662179414SH7405XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. SHARISSA BETH MABRY (M.D.)

  • 7301 MISSION RD STE 350

    PRAIRIE VILLAGE, KS 662083075

    Phone: (913) 945-9680

    Fax: (913) 945-9681

    Type: Location

  • 6511, Johnson Drive, Countryside, Mission, Johnson County, Kansas, 66202, United States

    MISSION, KS 66202

    Phone: (913) 945-9680

    Fax: (913) 945-9681

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,455.

Total Amount is formed as General ($1,455) + Research ($0) + Ownership ($0) = $1,455.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($317).

Total Amount

$1,455

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,455

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2017-06-07

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
I20170607003174IFamily PracticeKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes12268$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5454$0
99215Established patient office or other outpatient visit, 40-54 minutes2120$0
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 66208)

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Provider's Procedures

DR. SHARISSA BETH MABRY (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENJ90670Pneumococcal vaccine for injection into muscle3535

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: 8123928900View full group profile
NameSpecialtyState
Physician AssistantIA
Physician AssistantKS
Nurse PractitionerKS
Internal MedicineKS
Family PracticeKS
Family PracticeKS
Internal MedicineKS
Nurse PractitionerKS
Family PracticeKS
Family PracticeKS

Reviews

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Frequently asked questions

Where can patients find DR. SHARISSA BETH MABRY (M.D.)'s NPI?
You can confirm DR. SHARISSA BETH MABRY (M.D.) with NPI 1467605188; it appears in the national provider directory.
Is DR. SHARISSA BETH MABRY (M.D.)'s NPI currently valid?
The extract we use shows DR. SHARISSA BETH MABRY (M.D.) as active.
What field does DR. SHARISSA BETH MABRY (M.D.) work in?
You can think of DR. SHARISSA BETH MABRY (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SHARISSA BETH MABRY (M.D.)'s primary listing?
We display Prairie Village, Kansas because that is what the record indicates for DR. SHARISSA BETH MABRY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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