DR. NICOLE SUE ANNAN (M.D.) – Family Medicine Physician, NPI 1821416876
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. NICOLE SUE ANNAN (M.D.)
604 N WASHINGTON ST
COUNCIL GROVE, KS 668461422
Phone: (620) 767-5126
Type: Mailing
5701 W 119TH ST
OVERLAND PARK, KS 662093721
Phone: (913) 345-3650
Fax: (877) 743-5908
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: 2017-12-20
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 |
|---|---|---|---|---|
| I20171220001077 | I | Family Practice | KS | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 80 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 99 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 47 | $0 |
| G0009 | Administration of pneumococcal vaccine | 37 | 36 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 35 | 35 | $0 |
Insurance plans in this area (ZIP 66846)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | KS | |
| Family Practice | KS | |
| Clinical Psychologist | MO | |
| Physical Medicine And Rehabilitation | NE | |
| Internal Medicine, Pediatric Medicine | KS | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Clinical Psychologist | MO | |
| Emergency Medicine, Family Practice, Sports Medicine | MO | |
| Family Practice | MO |
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