DR. ANIESA SLACK (M.D.) – Student in an Organized Health Care Education/Training Program, NPI 1730506684

DR. ANIESA SLACK (M.D.) is a healthcare provider. based in Roeland park, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 04-52035 (KS). The NPI Number for DR. ANIESA SLACK (M.D.) is 1730506684

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANIESA SLACK (M.D.)
NPI
1730506684
Phone
(913) 432-3780
Address
5675 ROE BLVD STE 100
Enumeration Date
27 March 2014
Last Update Date
10 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8164047000
Graduation Year
2013 (13 years ago)
PAC ID
4183926629
Group Practice PAC ID
1153235825
Professional Enrollment ID
I20170809002544
Address ID
MO641391236KA7900XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

Provider Addresses for DR. ANIESA SLACK (M.D.)

  • 5675 ROE BLVD STE 100

    ROELAND PARK, KS 662052538

    Phone: (913) 432-3780

    Fax: (913) 432-8463

    Type: Mailing

  • 10950 W 86TH ST

    LENEXA, KS 662141634

    Phone: (913) 722-4240

    Fax: (913) 721-0298

    Type: Location

  • 7900 LEES SUMMIT RD

    KANSAS CITY, MO 641391236

    Phone: (816) 404-9030

    Fax: (816) 404-7677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Novo Nordisk Inc ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$16
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: 2025-11-05

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
I20170809002544IFamily PracticeMOTBD
I20251105000283IFamily 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3824$0
99238Hospital discharge day management, 30 minutes or less3838$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2618$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1918$0
99315Nursing facility discharge day management, 30 minutes or less1616$0
View full utilization report →

Insurance plans in this area (ZIP 66205)

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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: 1153235825View full group profile
NameSpecialtyState
D E R M A T O L O G YDC
D E R M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Orthopedic SurgeryMO
Orthopedic SurgeryPA
P S Y C H I A T R YMO
Orthopedic SurgeryTN

Reviews

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Frequently asked questions

How do payers reference DR. ANIESA SLACK (M.D.)?
For DR. ANIESA SLACK (M.D.), use NPI 1730506684 as the unique 10-digit identifier.
Active or inactive — what applies to DR. ANIESA SLACK (M.D.)?
You should see DR. ANIESA SLACK (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. ANIESA SLACK (M.D.)'s focus?
For DR. ANIESA SLACK (M.D.), the primary taxonomy reads as Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Is DR. ANIESA SLACK (M.D.) associated with Roeland Park?
Public fields place DR. ANIESA SLACK (M.D.) around Roeland Park, Kansas. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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