MAITHE ENRIQUEZ (APRN) – Adult Health Nurse Practitioner, NPI 1689622417

MAITHE ENRIQUEZ (APRN) is a healthcare provider. based in Overland park, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 086876 (MO). The NPI Number for MAITHE ENRIQUEZ (APRN) is 1689622417

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MAITHE ENRIQUEZ (APRN)
NPI
1689622417
Phone
(913) 942-0540
Address
4601 W 109TH ST STE 100
Enumeration Date
4 May 2006
Last Update Date
20 January 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
9139420540
Graduation Year
1996 (30 years ago)
PAC ID
2365418712
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20061024000505
Address ID
KS662111313OV4601XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MAITHE ENRIQUEZ (APRN)

  • West 109th Street, Overland Park, Johnson County, Kansas, 66210, United States

    OVERLAND PARK, KS 662111313

    Phone: (913) 942-0540

    Fax: (630) 528-9589

    Type: Mailing

  • 2340 E MEYER BLVD, BLDG 2

    SUITE 392

    KANSAS CITY, MO 64132

    Phone: (816) 444-7977

    Fax: (630) 528-9578

    Type: Location

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: 2006-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040907001076INurse PractitionerMOTBD
I20061024000505INurse 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
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less3414$0
99213Established patient office or other outpatient visit, 20-29 minutes1811$0
View full utilization report →

Insurance plans in this area (ZIP 66211)

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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: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

What is the standard ID for MAITHE ENRIQUEZ (APRN) in the U.S.?
In the U.S., MAITHE ENRIQUEZ (APRN) is identified by NPI 1689622417.
Should I treat MAITHE ENRIQUEZ (APRN) as an active provider?
Patients and plans typically see MAITHE ENRIQUEZ (APRN) as active in the national extract.
What type of care does MAITHE ENRIQUEZ (APRN) provide?
MAITHE ENRIQUEZ (APRN)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MAITHE ENRIQUEZ (APRN) tied to Overland Park, Kansas?
If you are local to Overland Park, Kansas, MAITHE ENRIQUEZ (APRN) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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