LACY JO HARGITT-PELKEY (APRN) – Family Nurse Practitioner, NPI 1588258529
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
Provider Addresses for LACY JO HARGITT-PELKEY (APRN)
6333 Long Ave Ste 360
Shawnee, KS 662162544
Phone: (913) 631-6330
Type: Location
11301 Nall Ave Ste 205
Leawood, KS 662111774
Phone: (913) 451-5934
Type: Location
4506 KELSEY DR
MANHATTAN, KS 665021492
Phone: (309) 336-0136
Type: Mailing
1602 W 15th Ave
Emporia, KS 668019803
Phone: (620) 208-8518
Type: Location
2921 SW Wanamaker Dr
Topeka, KS 666145328
Phone: (785) 272-6860
Type: Location
1602 W 15TH AVE
EMPORIA, KS 668019803
Phone: (620) 208-8518
Type: Location
4 COMMERCE LN
CANTON, NY 136173739
Phone: (315) 386-8191
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: 2025-04-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250430001483 | I | Nurse Practitioner | SD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 928 | 661 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 385 | 311 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 185 | 158 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 89 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 84 | 84 | $0 |
Insurance plans in this area (ZIP 66216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Nurse Practitioner | SD | |
| - | SD | |
| General Practice | CA | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | KS | |
| Family Practice | ID |
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