KACY SUE WARNER (NP) – Nurse Practitioner, NPI 1265997290
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| PFIZER INC. | $32 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190723003229 | 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 64012)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KS | |
| Family Practice | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist, Internal Medicine | OK | |
| Internal Medicine, Hospitalist | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Hospitalist, Internal Medicine | KS |
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