MRS. LARA S. WILSON (AGNP-C) – Adult Health Nurse Practitioner, NPI 1730573122
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MRS. LARA S. WILSON (AGNP-C)
6675 HOLMES RD
STE 550
KANSAS CITY, MO 641311150
Phone: (816) 363-7710
Type: Location
6119 RUSSELL ST
MISSION, KS 662023220
Phone: (816) 838-1978
Type: Mailing
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 $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: PFIZER INC. ($17).
Total Amount
$30
General + Research + Ownership
Payments
2
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $17 |
| Janssen Scientific Affairs, LLC | $13 |
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: 2015-06-19
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 |
|---|---|---|---|---|
| I20150619001426 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 614 | 75 | $0 |
| 85610 | Blood test, clotting time | 396 | 67 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 18 | $0 |
Insurance plans in this area (ZIP 64131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Family Practice | KS | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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