JAYNE TEDDER (DNP, AGPCNP-BC) – Registered Nurse, NPI 1891259875

JAYNE TEDDER (DNP, AGPCNP-BC) is a healthcare provider. based in Lenexa, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, AGPCNP-BC. They hold a License No. 53-80127-071 (KS). The NPI Number for JAYNE TEDDER (DNP, AGPCNP-BC) is 1891259875

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JAYNE TEDDER (DNP, AGPCNP-BC)
NPI
1891259875
Phone
(877) 279-5960
Address
9100 PARK ST STE 100
Enumeration Date
24 January 2019
Last Update Date
14 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
2020 (6 years ago)
PAC ID
4688067259
Group Practice PAC ID
6800261819
Professional Enrollment ID
I20220202001975
Address ID
KS662153353LE9100XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:7State licenses:4Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for JAYNE TEDDER (DNP, AGPCNP-BC)

  • 9100 PARK ST STE 100

    LENEXA, KS 662153353

    Phone: (877) 279-5960

    Fax: (877) 384-3106

    Type: Mailing

  • 120, East 69th Terrace, Armour Hills, Kansas City, Jackson County, Missouri, 64113, United States

    KANSAS CITY, MO 641132554

    Phone: (816) 809-6575

    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: 2022-02-02

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
I20220202001975INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes25657$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes15276$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes12840$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi12441$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes6930$0
View full utilization report →

Insurance plans in this area (ZIP 66215)

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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: 6800261819View full group profile
NameSpecialtyState
Nurse PractitionerKS
Nurse PractitionerMO
Family Practice, Internal MedicineMO
Nurse PractitionerKS
Nurse PractitionerKS
Internal MedicinePA
Family PracticeMO
Family PracticeMO
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

What is the standard ID for JAYNE TEDDER (DNP, AGPCNP-BC) in the U.S.?
In the U.S., JAYNE TEDDER (DNP, AGPCNP-BC) is identified by NPI 1891259875.
Should I treat JAYNE TEDDER (DNP, AGPCNP-BC) as an active provider?
Patients and plans typically see JAYNE TEDDER (DNP, AGPCNP-BC) as active in the national extract.
What type of care does JAYNE TEDDER (DNP, AGPCNP-BC) provide?
JAYNE TEDDER (DNP, AGPCNP-BC)'s profile centers on Registered Nurse. Clinical services aligned with this taxonomy classification.
Which community is linked to JAYNE TEDDER (DNP, AGPCNP-BC)?
JAYNE TEDDER (DNP, AGPCNP-BC) shows a connection to Lenexa, Kansas in registry-derived data.
Who maintains JAYNE TEDDER (DNP, AGPCNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.