Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA MARIE PETTUS DNP
NPI 1336873371
Nurse Practitioner in Lenexa, KS

Q: What is Angela Pettus's NPI number?

The NPI number for Angela Pettus is 1336873371. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Q: What is Angela Pettus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Pettus was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since July 14, 2022PECOS Enrolled

8550 MARSHALL DR STE 200, LENEXA, KS 66214(913) 495-2000(913) 495-3715 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Nov 18, 2025, Jun 3, 2023 and 1 more (4 updates tracked since 2022).

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About Angela Marie Pettus Dnp NPPES

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

ANGELA MARIE PETTUS DNP (NPI 1336873371) is an individual nurse practitioner in Lenexa, Kansas, licensed in Kansas (53-81365-091) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336873371

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGELA MARIE PETTUSCredential: DNP

Location Address8550 MARSHALL DR STE 200Lenexa, KS 66214-9836

Mailing Address8550 Marshall Dr Ste 200Lenexa, KS 66214-9836 · (913) 495-2000 · Fax (913) 495-3715

Phone(913) 495-2000

Fax(913) 495-3715

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 14, 2022

Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1336873371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KS · 53-81365-091✔ Licensed in MO · 2022028087

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 53-81365-091 (KS), 2022028087 (MO)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 53-81365-091 (KS), 2022028087 (MO)

8550 MARSHALL DR STE 200, Lenexa, KS 66214

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Secondary Practice Locations 2

Location 11000 Carondelet Dr # 201BKansas City, MO 64114-4673 · Phone (913) 956-2551

Location 24125 State Line RdKansas City, MO 64111-4423 · Phone (913) 284-1889

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

Angela Marie Pettus Dnp 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 ID7911389226

PECOS Enrollment IDI20251121002088

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 66214 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 12

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

JOHN J MAHON M.D.

Family Medicine