MS. CAROLINE GRACE MCFEETERS – Physician Assistant, NPI 1083361612

MS. CAROLINE GRACE MCFEETERS is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICIAN ASSISTANT. They hold a License No. 2024000081 (MO). The NPI Number for MS. CAROLINE GRACE MCFEETERS is 1083361612

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MS. CAROLINE GRACE MCFEETERS
NPI
1083361612
Phone
Not provided
Address
2411 HOLMES ST
Enumeration Date
3 March 2022
Last Update Date
30 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9135994800
Graduation Year
2023 (3 years ago)
PAC ID
3971956673
Group Practice PAC ID
7911032131
Professional Enrollment ID
I20240307002798
Address ID
KS662042201ME8901XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MS. CAROLINE GRACE MCFEETERS

  • 2411 HOLMES ST

    KANSAS CITY, MO 641082741

    Phone:

    Type: Mailing

  • 5101 COLLEGE BLVD

    LEAWOOD, KS 662111614

    Phone: (816) 478-4200

    Fax: (816) 875-2598

    Type: Mailing

  • 4801 COLLEGE BLVD

    LEAWOOD, KS 662111628

    Phone: (913) 721-3387

    Fax: (816) 875-2598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $292.

Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GENZYME CORPORATION ($112).

Total Amount

$292

General + Research + Ownership

Payments

7

Total payment records

General Amount

$292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

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: 2024-03-07

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
I20240130000901IPhysician AssistantMOTBD
I20240307002798IPhysician AssistantKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64108)

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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: 7911032131View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryKS
Qualified AudiologistKS
Otolaryngology, Plastic And Reconstructive SurgeryKS
Qualified AudiologistKS
Qualified AudiologistFL
Qualified AudiologistKS
-IL
Otolaryngology, Plastic And Reconstructive SurgeryKS
O T O L A R Y N G O L O G YKS
Physician AssistantNE

Reviews

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Frequently asked questions

What is MS. CAROLINE GRACE MCFEETERS's NPI number?
MS. CAROLINE GRACE MCFEETERS's NPI is 1083361612 — the number used across U.S. healthcare to identify this provider.
Is MS. CAROLINE GRACE MCFEETERS shown as active in public data?
Registry records indicate MS. CAROLINE GRACE MCFEETERS maintains an active NPI.
What clinical focus is listed for MS. CAROLINE GRACE MCFEETERS?
At a glance, MS. CAROLINE GRACE MCFEETERS is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. CAROLINE GRACE MCFEETERS?
Directory geography for MS. CAROLINE GRACE MCFEETERS centers on Kansas City, Missouri.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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