JESSIE NICHOLE FAZEL APRN
NPI 1255682076
Nurse Practitioner - Family in Overland Park, KS

Active since September 20, 2012PECOS Enrolled
5808 W 110TH ST, OVERLAND PARK, KS 66211(913) 696-8000 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessie Nichole Fazel Aprn NPPES

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

JESSIE NICHOLE FAZEL APRN (NPI 1255682076) is an individual family provider in Overland Park, Kansas, licensed in Kansas (75765) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255682076
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSIE NICHOLE FAZELCredential: APRN
Location Address5808 W 110TH STOverland Park, KS 66211-2504
Mailing Address2401 Gillham RdKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1255682076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KS · 75765
5808 W 110TH ST, Overland Park, KS 66211

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie Nichole Fazel Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessie Fazel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
2401 GILLHAM RD
Kansas City, MO 64108
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: The Childrens Mercy Hospital
  • 394 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 66211 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical Child & Adolescent)
5808 W 110TH ST
OVERLAND PARK, KS 66211
Audiologist
5808 W 110TH ST
OVERLAND PARK, KS 66211
Nurse Practitioner (Pediatrics)
5808 W 110TH ST
OVERLAND PARK, KS 66211
Pediatrics
5808 W 110TH ST
OVERLAND PARK, KS 66211
Nurse Practitioner (Pediatrics)
5808 W 110TH ST
OVERLAND PARK, KS 66211
Surgery (Plastic and Reconstructive Surgery)
5808 W 110TH ST
OVERLAND PARK, KS 66211
Psychologist (Clinical Child & Adolescent)
5808 W 110TH ST
OVERLAND PARK, KS 66211
Social Worker (Clinical)
5808 W 110TH ST
OVERLAND PARK, KS 66211

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 Jessie Fazel's NPI number?

The NPI number for Jessie Fazel is 1255682076. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Jessie Fazel located?

Jessie Fazel practices at 5808 W 110th St, Overland Park, KS 66211. The listed phone number is (913) 696-8000.

What is Jessie Fazel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessie Fazel enrolled in Medicare?

Yes. Jessie Fazel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessie Fazel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Fazel reassigns Medicare benefits to The Children's Mercy Hospital (Kansas City, MO). The 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 Jessie Fazel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessie Fazel accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Kansas, Inc. list Jessie Fazel 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 Jessie Fazel was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.