SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) – Nurse Practitioner, NPI 1154019255

SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) is a healthcare provider. based in Platte city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, AGACNP-BC. They hold a License No. 2023004370 (MO). The NPI Number for SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) is 1154019255

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC)
NPI
1154019255
Phone
(816) 446-9897
Address
1803 GATES DR W
Enumeration Date
26 April 2023
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169410800
Graduation Year
2022 (4 years ago)
PAC ID
8527428713
Group Practice PAC ID
1355535162
Professional Enrollment ID
I20231228001394
Address ID
KS662111370OV4370XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC)

  • 1803 GATES DR W

    PLATTE CITY, MO 640797507

    Phone: (816) 446-9897

    Type: Mailing

  • 4370 W 109TH ST STE 350

    OVERLAND PARK, KS 662111370

    Phone: (816) 941-0800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $509.

Total Amount is formed as General ($509) + Research ($0) + Ownership ($0) = $509.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: ABBVIE INC. ($130).

Total Amount

$509

General + Research + Ownership

Payments

24

Total payment records

General Amount

$509

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2023-12-28

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
I20230719003667INurse PractitionerMOTBD
I20231228001394INurse 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.

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

Insurance plans in this area (ZIP 64079)

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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: 1355535162View full group profile
NameSpecialtyState
-MO
Orthopedic SurgeryKS
General Surgery, Colorectal Surgery (Proctology)TX
General Surgery, Colorectal Surgery (Proctology)MO
Nurse PractitionerKS
Orthopedic SurgeryMO
O B S T E T R I C S/ G Y N E C O L O G YKS
Physician AssistantWV
Physician AssistantKS
O B S T E T R I C S/ G Y N E C O L O G YKS

Reviews

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Frequently asked questions

What is the registry number for SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC)?
The registry entry for SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) shows NPI 1154019255.
Quick check: is SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) active?
Public NPPES data shows SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) with an active NPI status right now.
Which specialty label fits SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC)?
NPPES ties SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC)?
The directory associates SUZANNA KAY WILSON (MSN, APRN, AGACNP-BC) with Platte City, Missouri. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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