KACY SUE WARNER (NP) – Nurse Practitioner, NPI 1265997290

KACY SUE WARNER (NP) is a healthcare provider. based in Belton, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2019003453 (MO). The NPI Number for KACY SUE WARNER (NP) is 1265997290

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KACY SUE WARNER (NP)
NPI
1265997290
Phone
(816) 348-1200
Address
17065 S. 71 Highway
Enumeration Date
4 February 2019
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169122100
Graduation Year
2018 (8 years ago)
PAC ID
7719213131
Group Practice PAC ID
3173891256
Professional Enrollment ID
I20190723003229
Address ID
MO640122165BE17065RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KACY SUE WARNER (NP)

  • 17065 S. 71 Highway

    Belton, MO 64012

    Phone: (816) 348-1200

    Type: Location

  • 5001, Northwest Timberline Drive, Riverside, Platte County, Missouri, 64150, United States

    RIVERSIDE, MO 641503574

    Phone: (316) 640-8107

    Type: Mailing

  • 1010 CARONDELET DR STE 121

    KANSAS CITY, MO 641144859

    Phone: (816) 912-2100

    Fax: (636) 438-0430

    Type: Mailing

  • Research Medical Center, 2316, East Meyer Boulevard, Blenheim, Kansas City, Jackson County, Missouri, 64132, United States

    KANSAS CITY, MO 641321199

    Phone: (816) 268-4000

    Type: Location

  • 2316 E Meyer Blvd

    Kansas City, MO 641321199

    Phone: (816) 268-4000

    Type: Location

  • 10500 Quivira Rd

    Overland Park, KS 662152306

    Phone: (913) 413-7267

    Type: Location

  • 2100 SE Blue Pkwy

    Lees Summit, MO 640631007

    Phone: (816) 839-3994

    Type: Location

  • 5721 W 119th St

    Overland Park, KS 662093722

    Phone: (913) 413-7267

    Type: Location

  • 19600 E 39TH ST S

    INDEPENDENCE, MO 640572301

    Phone: (816) 839-3994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-09-23 • Largest payer in this snapshot: PFIZER INC. ($32).

Total Amount

$32

General + Research + Ownership

Payments

2

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$32
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: 2019-07-23

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
I20190723003229INurse PractitionerMOTBD

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 64012)

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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: 3173891256View full group profile
NameSpecialtyState
Internal MedicineKS
Family PracticeMO
Family PracticeMO
Nurse PractitionerMO
Internal Medicine, Hospitalist, Internal MedicineOK
Internal Medicine, HospitalistMO
Physician AssistantMO
Family PracticeMO
Nurse PractitionerMO
Hospitalist, Internal MedicineKS

Reviews

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Frequently asked questions

How do I look up KACY SUE WARNER (NP) by NPI?
Use NPI 1265997290 when you need to reference KACY SUE WARNER (NP) in forms, claims, or directories.
Is KACY SUE WARNER (NP) active in the national directory?
KACY SUE WARNER (NP)'s public NPI profile is in an active state.
Does KACY SUE WARNER (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for KACY SUE WARNER (NP). Clinical services aligned with this taxonomy classification.
Does KACY SUE WARNER (NP) practice in Missouri?
You will see Belton, Missouri on file for KACY SUE WARNER (NP) alongside any extra practice locations.
Is KACY SUE WARNER (NP) a real provider?
This page reflects official NPPES data for NPI 1265997290. Always confirm identity and privileges with the practice and licensing boards.

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