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

SONIA KALIA PMHNP-BC
NPI 1366824468
Nurse Practitioner - Psychiatric/Mental Health in Kansas City, MO

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130(816) 923-5800(816) 923-3801 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2026, Aug 27, 2026, Jul 29, 2026 and 16 more (19 updates tracked since 2017).

About Sonia Kalia Pmhnp-bc NPPES

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

SONIA KALIA PMHNP-BC (NPI 1366824468) is an individual psychiatric/mental health provider in Kansas City, Missouri, licensed in Missouri (2015011479) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366824468
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSONIA KALIACredential: PMHNP-BC
Location Address3801 DR MARTIN LUTHER KING JR BLVDKansas City, MO 64130-2807
Mailing Address3801 Dr Martin Luther King Jr BlvdKansas City, MO 64130-2807 · (816) 923-5800
Phone(816) 923-5800
Fax(816) 923-3801
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2015
Last NPPES UpdateSeptember 30, 202619 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1366824468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MO · 2015011479✔ Licensed in KS · 53-77411-121
3801 DR MARTIN LUTHER KING JR BLVD, Kansas City, MO 64130
Open in Google Maps ↗

Other Identifiers 1

Other2015011479MO · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Sonia Kalia Pmhnp-bc 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 ID7214240878
PECOS Enrollment IDI20150724012360, I20170118002031
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 Reassignments

2

Medicare enrollment records show Sonia Kalia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swope Health Services
0.9 mi
Federally Qualified Health Center (FQHC)
4736 PROSPECT AVE
Kansas City, MO 64130
  • Reassigned Medicare billing, Missouri and Kansas enrollments
  • Also billed through NPI 1861587511 (Kansas)
  • 175 clinicians in this Medicare group
NPI 1336730449 (816) 923-5800
Rediscover
5.4 mi
Methadone
8800 BLUE RIDGE BLVD
Kansas City, MO 64138
  • Reassigned Medicare billing, Missouri enrollment
  • 124 clinicians in this Medicare group
NPI 1659749414 (816) 384-0700

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 64130 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

MRS. EBERECHUKWU VIVIAN OKPAREKE FNP-BC
Nurse Practitioner (Family)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 923-5800
ANNA CHRISTINE ROSE LMSW
Social Worker (Clinical)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 922-1070
JOSHUA C TRILLO APRN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 923-5800
DR. KENNETH THOMAS M.D.
Pediatrics
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 599-5555
DR. VALERIE LYNN DUFF DO
Family Medicine
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 923-5800
RACHEL MELSON FNP-C
Nurse Practitioner (Family)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 599-5500
MS. SHELBY LUSTER FNP
Nurse Practitioner (Family)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 923-5800
KAREN LANE LPC
Counselor (Professional)
3801 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO 64130
Jackson County (816) 599-5241

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 Sonia Kalia's NPI number?

The NPI number for Sonia Kalia is 1366824468. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Sonia Kalia located?

Sonia Kalia practices at 3801 Dr Martin Luther King Jr Blvd, Kansas City, MO 64130. The listed phone number is (816) 923-5800.

What is Sonia Kalia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sonia Kalia enrolled in Medicare?

Yes. Sonia Kalia 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 Sonia Kalia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonia Kalia reassigns Medicare benefits to 2 organizations: Swope Health Services (Kansas City, MO) and Rediscover (Kansas City, MO). 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 Sonia Kalia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonia Kalia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Sonia Kalia 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 Sonia Kalia was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 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.