AMANDA SUE WILSON FNP-BC
NPI 1356692701
Nurse Practitioner - Family in Harrisonville, MO

Q: What is Amanda Wilson's NPI number?

The NPI number for Amanda Wilson is 1356692701. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Q: What is Amanda Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 25, 2012PECOS Enrolled

2820 E ROCK HAVEN RD, STE. 100, HARRISONVILLE, MO 64701(816) 380-3582(816) 380-6964 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Amanda Sue Wilson Fnp-bc NPPES

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

AMANDA SUE WILSON FNP-BC (NPI 1356692701) is an individual family provider in Harrisonville, Missouri, licensed in Missouri (2012033367) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356692701

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA SUE WILSONCredential: FNP-BC

Location Address2820 E ROCK HAVEN RD, STE. 100Harrisonville, MO 64701-4411

Mailing Address2820 E Rock Haven Rd, Ste. 100Harrisonville, MO 64701-4411 · (816) 380-3582 · Fax (816) 380-6964

Phone(816) 380-3582

Fax(816) 380-6964

Sole ProprietorNo

Enumeration DateSeptember 25, 2012

Last NPPES UpdateApril 27, 2015

✔ NPI 1356692701 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 MO · 2012033367

2820 E ROCK HAVEN RD, Harrisonville, MO 64701

Open in Google Maps ↗

Other Identifiers 3

Medicaid1356692701MO

Medicare PINP01337972MO

Medicare PINK44000006MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Sue Wilson Fnp-bc 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 Amanda Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Olathe Health Physicians, Inc.

27 mi

Psychiatry

20333 W 151ST ST
Olathe, KS 66061

Reassigned Medicare billing, Kansas enrollment
273 clinicians in this Medicare group

NPI 1326548710 (913) 791-4461

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 64701 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%5,052 patients5/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

2%394 patients1/55-star benchmark: 88%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

26%86 patients2/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%86 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

36%86 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

36%86 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

KCCORECASSCOUNTY LLC

Chiropractor

2820 E ROCK HAVEN RD, SUITE 170
HARRISONVILLE, MO 64701

Cass County (816) 884-2440

DR. KENNETH WENDELL PETERSEN D.O.

Orthopaedic Surgery

2820 E ROCK HAVEN RD, SUITE # 120
HARRISONVILLE, MO 64701

Cass County (816) 380-7662

DEANA MARIE SELF FNP-C

Nurse Practitioner (Family)

2820 E ROCK HAVEN RD, SUITE 100
HARRISONVILLE, MO 64701

Cass County (816) 380-3582

DR. DANNY K CARROLL M.D.

Orthopaedic Surgery

2820 E ROCK HAVEN RD
HARRISONVILLE, MO 64701

Cass County (816) 380-7662

HARRISONVILLE FAMILY MEDICINE, INC.

Family Medicine

2820 E ROCK HAVEN RD, SUITE 100
HARRISONVILLE, MO 64701

Cass County (816) 380-3582

CHERI HOBBS FNP-C

Nurse Practitioner (Family)

2820 E ROCK HAVEN RD
HARRISONVILLE, MO 64701

Cass County (816) 380-3582

SHELLIE D HILL ARNP

Nurse Practitioner (Family)

2820 E ROCK HAVEN RD, STE 200
HARRISONVILLE, MO 64701

Cass County (816) 276-4800

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 Amanda Wilson's NPI number?

The NPI number for Amanda Wilson is 1356692701. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Amanda Wilson located?

Amanda Wilson practices at 2820 E Rock Haven Rd Ste. 100, Harrisonville, MO 64701. The listed phone number is (816) 380-3582.

What is Amanda Wilson's specialty?

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

Is Amanda Wilson enrolled in Medicare?

Yes. Amanda Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wilson reassigns Medicare benefits to Olathe Health Physicians, Inc. (Olathe, 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 Amanda Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Wilson was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.