MRS. LEESA ANNETTE MCBROOM (APRN, FNP-C) – Family Nurse Practitioner, NPI 1346252368
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MRS. LEESA ANNETTE MCBROOM (APRN, FNP-C)
PO BOX 211699
EAGAN, MN 551213699
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Mailing
100 S 4TH ST STE 550
SAINT LOUIS, MO 631021897
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Location
9406 E 63rd St
Raytown, MO 641334904
Phone: (816) 356-1000
Fax: (816) 356-9220
Type: Location
9406, East 63rd Street, Raytown, Jackson County, Missouri, 64133, United States
RAYTOWN, MO 641334904
Phone: (816) 356-1000
Fax: (816) 356-9220
Type: Location
8605, Northeast 115th Street, Hampton Meadow, Kansas City, Clay County, Missouri, 64157, United States
KANSAS CITY, MO 641577729
Phone: (816) 781-1202
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: 2004-09-13
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 |
|---|---|---|---|---|
| I20040913001415 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NM | |
| Nurse Practitioner | MO | |
| - | IL | |
| - | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | MO | |
| Nurse Practitioner | MO |
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