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TRACI WILLARD NP
NPI 1063884708
Nurse Practitioner - Acute Care in Leawood, KS

Active since October 21, 2015PECOS EnrolledAccepts Medicare Assignment
12120 STATE LINE RD # 296, LEAWOOD, KS 66209(913) 302-7183(888) 779-3217 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Traci Willard Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI WILLARD NP (NPI 1063884708) is an individual acute care provider in Leawood, Kansas, licensed in Kansas (53-77126-051) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063884708
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTRACI WILLARDCredential: NP
Location Address12120 STATE LINE RD # 296Leawood, KS 66209-1254
Mailing Address17755 S Laverty StOlathe, KS 66062-4528 · (620) 224-0573
Phone(913) 302-7183
Fax(888) 779-3217
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 21, 2015
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1063884708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in KS · 53-77126-051✔ Licensed in MO · 102736
12120 STATE LINE RD # 296, Leawood, KS 66209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Traci Willard Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466755210
PECOS Enrollment IDI20160211000654
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Willard's NPI number?

The NPI number for Traci Willard is 1063884708. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Traci Willard located?

Traci Willard practices at 12120 State Line Rd # 296, Leawood, KS 66209. The listed phone number is (913) 302-7183.

What is Traci Willard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Traci Willard enrolled in Medicare?

Yes. Traci Willard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Traci Willard was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.