TRACI WILLARD NP
NPI 1063884708
Nurse Practitioner - Acute Care in Leawood, KS
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Traci Willard reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Overland Park, KS 66211
- Reassigned Medicare billing, Kansas enrollment
- 175 clinicians in this Medicare group
Raymore, MO 64083
- Reassigned Medicare billing, Kansas enrollment
- 28 clinicians in this Medicare group
Colwich, KS 67030
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Cs Pacs 3 Midwest LLC
- Also billed through NPI 1972368785 (Missouri)
- 90 clinicians in this Medicare group
Colwich, KS 67030
- Reassigned Medicare billing, Kansas enrollment
- 98 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 64 clinicians in this Medicare group
Las Vegas, NV 89144
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Traci Willard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Willard reassigns Medicare benefits to 6 organizations: Inpatient Consultants Of Kansas PA (Overland Park, KS), Geriatric Primary Care PA (Raymore, MO), Kansas Post Acute Medical Services 1 PA (Colwich, KS), Kansas Post Acute Medical Services 1 PA (Colwich, KS), Ipc Pac Healthcare Services Of Missouri Inc (Sikeston, MO) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Traci Willard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Traci Willard accept?
Health plans from UnitedHealthcare list Traci Willard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Traci Willard was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Traci Willard, NP · NPI 1063884708
Acute Care physician in Leawood, Kansas. Individual provider, active in the CMS NPPES registry since October 21, 2015.
## Identity
- **NPI:** 1063884708 (Entity type: Individual)
- **Enumerated:** October 21, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 53-77126-051 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 12120 STATE LINE RD # 296, Leawood, KS 66209-1254
- **Phone:** (913) 302-7183 · **Fax:** (888) 779-3217
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Inpatient Consultants Of Kansas PA (NPI 1548563737, Overland Park, KS); Geriatric Primary Care PA (NPI 1073082350, Raymore, MO); Kansas Post Acute Medical Services 1 PA (NPI 1124557020, Colwich, KS); Kansas Post Acute Medical Services 1 PA (NPI 1124557020, Colwich, KS); Ipc Pac Healthcare Services Of Missouri Inc (NPI 1326497587, Sikeston, MO); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063884708) · Data from the CMS NPPES public registry.