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LISA ANN PAZDERNIK M.D.
NPI 1306872957
Obstetrics & Gynecology in Shawnee Mission, KS

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
9100 W 74TH ST, SHAWNEE MISSION, KS 66204(913) 676-2219(913) 789-6700 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Ann Pazdernik M.d. NPPES

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

LISA ANN PAZDERNIK M.D. (NPI 1306872957) is an individual obstetrics & gynecology provider in Shawnee Mission, Kansas, licensed in Kansas (04-27740) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1997).

NPPES Registry Identity

NPI1306872957
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA ANN PAZDERNIKCredential: M.D.
Location Address9100 W 74TH STShawnee Mission, KS 66204-4004
Mailing Address9100 W 74th StShawnee Mission, KS 66204-4004 · (913) 676-2219 · Fax (913) 789-6700
Phone(913) 676-2219
Fax(913) 789-6700
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1997
Enumeration DateJune 24, 2006
Last NPPES UpdateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1306872957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in KS · 04-27740
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9100 W 74TH ST, Shawnee Mission, KS 66204
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Other Identifiers 1

Medicaid200360170AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.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

Lisa Ann Pazdernik M.d. 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 ID7416985676
PECOS Enrollment IDI20050728001139
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 Lisa Pazdernik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shawnee Mission Medical Center Inc
Same address
Family Medicine
9100 W 74TH ST
Merriam, KS 66204
  • Reassigned Medicare billing, Kansas enrollment
  • 384 clinicians in this Medicare group
NPI 1992735690 (913) 676-2000

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 66204 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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.

MRS. MARY SWINGLE CRNA
Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204
Johnson County (913) 632-2230
RHEUMATOLOGY SPECIALISTS OF KANSAS CITY PA
Specialist
9100 W 74TH ST
OVERLAND PARK, KS 66204
Johnson County (816) 753-5736
MS. PENNY ANN WALTER RD, LD
Dietitian, Registered
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2195
LORENE CREASSER ARNP
Nurse Practitioner (Family)
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2200
MS. ANN WHEELER BCBA
Behavior Analyst
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2253
TYLER DAVIS DO
Anesthesiology
9100 W 74TH ST
SHAWNEE MISSION, KS 66204
Johnson County (913) 676-2000
ELIZABETH DANIELLE FLESHMAN
Registered Nurse
9100 W 74TH ST
MERRIAM, KS 66204
Johnson County (913) 909-2776
MITCHELL YOUNG
Nurse Anesthetist, Certified Registered
9100 W 74TH ST
MERRIAM, KS 66204
Johnson County (913) 676-2000

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 Lisa Pazdernik's NPI number?

The NPI number for Lisa Pazdernik is 1306872957. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Lisa Pazdernik located?

Lisa Pazdernik practices at 9100 W 74th St, Shawnee Mission, KS 66204. The listed phone number is (913) 676-2219.

What is Lisa Pazdernik's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lisa Pazdernik enrolled in Medicare?

Yes. Lisa Pazdernik 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 organization bills Medicare for Lisa Pazdernik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Pazdernik reassigns Medicare benefits to Shawnee Mission Medical Center Inc (Merriam, KS). 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 Lisa Pazdernik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Pazdernik accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Lisa Pazdernik 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 Lisa Pazdernik was last updated on June 30, 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.