MALIA DEJONG (APRN) – Family Nurse Practitioner, NPI 1154870624

MALIA DEJONG (APRN) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 53-77376-011 (KS). The NPI Number for MALIA DEJONG (APRN) is 1154870624

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MALIA DEJONG (APRN)
NPI
1154870624
Phone
(816) 531-0552
Address
4320 WORNALL RD STE 208
Enumeration Date
26 September 2016
Last Update Date
19 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9137213387
Graduation Year
2016 (10 years ago)
PAC ID
8123308178
Group Practice PAC ID
9335143759
Professional Enrollment ID
I20190702000088
Address ID
KS662111602LE4901XBLVD300

Contacts

Secure Messaging
malia.dejong.1@12752.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for MALIA DEJONG (APRN)

  • Wornall Road, Dallas, Kansas City, Jackson County, Missouri, 64131, United States

    KANSAS CITY, MO 641115964

    Phone: (816) 531-0552

    Type: Location

  • 4860 COLLEGE BLVD STE 201

    OVERLAND PARK, KS 662111914

    Phone: (816) 875-2599

    Type: Mailing

  • 5701 W 119TH ST STE 425

    OVERLAND PARK, KS 662093755

    Phone: (913) 721-3387

    Fax: (816) 875-2598

    Type: Location

  • 5101 COLLEGE BLVD

    LEAWOOD, KS 662111614

    Phone: (816) 478-4200

    Type: Mailing

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 $651.

Total Amount is formed as General ($651) + Research ($0) + Ownership ($0) = $651.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($206).

Total Amount

$651

General + Research + Ownership

Payments

24

Total payment records

General Amount

$651

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-07-02

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
I20161208000570INurse PractitionerMOTBD
I20190702000088INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes11980$0
69210Removal of impacted ear wax8662$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
92504Exam of ear using a microscope3228$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 64111)

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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: 9335143759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMO
O T O L A R Y N G O L O G YMO
-MO
-CA
Qualified AudiologistMO
Qualified AudiologistKS
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)KS
Family Practice, Osteopathic Manipulative MedicineMO
P O D I A T R YKS

Reviews

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Frequently asked questions

Can I verify MALIA DEJONG (APRN) with an NPI only?
You can start verification with NPI 1154870624 for MALIA DEJONG (APRN), then check state licensing separately.
Is MALIA DEJONG (APRN) listed as active for patients and plans?
The listing shows MALIA DEJONG (APRN) as active in the NPI system.
What taxonomy line describes MALIA DEJONG (APRN)?
For research purposes, treat MALIA DEJONG (APRN) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does MALIA DEJONG (APRN) list a practice location?
Patients near Kansas City, Missouri may find MALIA DEJONG (APRN) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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