DR. JESSICA STACY (PSY.D.) – Clinical Psychologist, NPI 1558789925
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
449 CLINICAL PSYCHOLOGIST in MO
Provider Addresses for DR. JESSICA STACY (PSY.D.)
8301 STATELINE RD.
SUITE 202
KANSAS CITY, MO 64114
Phone: (816) 945-2655
Type: Location
7501 COLLEGE BLVD STE 250
OVERLAND PARK, KS 662102505
Phone: (913) 451-8550
Type: Location
10561 BARKLEY ST STE 630
OVERLAND PARK, KS 662121880
Phone: (913) 415-2204
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2022-07-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180626001502 | I | Clinical Psychologist | MO | TBD |
| I20220724000041 | I | Clinical Psychologist | KS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96137 | Administration of psychological or neuropsychological test, each additional 30 minutes | 39 | 13 | $0 |
| 96131 | Evaluation of psychological test, each additional hour | 15 | 13 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $0 |
| 96130 | Evaluation of psychological test, first hour | 13 | 13 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 64114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MO | |
| Clinical Psychologist | KS | |
| Clinical Psychologist | KS |
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