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ALICIA R WYATT
NPI 1417382649
Nurse Anesthetist, Certified Registered in Saint Francis, KS

Active since September 06, 2013PECOS Enrolled
80.77/100
CMS Quality Rating
210 W 1ST ST, SAINT FRANCIS, KS 67756(785) 332-2104(785) 332-3255 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2025, May 5, 2018 (2 updates tracked since 2018).

About Alicia R Wyatt NPPES

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

ALICIA R WYATT (NPI 1417382649) is an individual nurse anesthetist, certified registered in Saint Francis, Kansas, licensed in Kansas (43-557204) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417382649
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICIA R WYATT
Location Address210 W 1ST STSaint Francis, KS 67756-3540
Mailing Address210 W 1st StSaint Francis, KS 67756-3540 · (785) 332-2104 · Fax (785) 332-3255
Phone(785) 332-2104
Fax(785) 332-3255
Sole ProprietorNo
Enumeration DateSeptember 6, 2013
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1417382649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KS · 43-557204
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
210 W 1ST ST, Saint Francis, KS 67756
Open in Google Maps ↗

Other Identifiers 1

Medicaid30004530900001KS

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia R Wyatt 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 Reassignments

3

Medicare enrollment records show Alicia Wyatt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Plains Of Cheyenne Co. Inc
0.2 mi
Critical Access
210 W 1ST ST
St Francis, KS 67756
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1881781136 (Kansas)
  • 25 clinicians in this Medicare group
NPI 1992736458 (785) 332-2104
Kansas Spine Anesthesia Corporation PA
284 mi
Pain Medicine
3333 N WEBB RD
Wichita, KS 67226
  • Reassigned Medicare billing, Kansas enrollment
  • 103 clinicians in this Medicare group
NPI 1720345911 (316) 462-5000
Mch Professional Care Hospital Based
547 mi
Family Medicine
500 W 4TH ST
Odessa, TX 79761
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1447547773 (432) 640-2401

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 67756 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.

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.

80.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.38
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

JESSE LEESHA CAHOJ MSN, FNP-C
Nurse Practitioner (Family)
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-2104
MICHAEL CHAFIC LARREA MOTR/L
Occupational Therapist
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-9600
GREAT PLAINS OF CHEYENNE COUNTY INC.
Durable Medical Equipment & Medical Supplies
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-2104
JONATHAN MICHAEL RIDDELL PTA
Physical Therapy Assistant
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-2104
BRIAN JOSEPH JENNINGS M.D.
Family Medicine
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-2104
MR. JEROME MARK MOLSTAD
Physician Assistant
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-2104
DEBBIE ELLIOTT BSN, RN
Registered Nurse
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (785) 332-2104
STEVEN ALLEN
Physician Assistant
210 W 1ST ST
SAINT FRANCIS, KS 67756
Cheyenne County (816) 277-9694

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 Alicia Wyatt's NPI number?

The NPI number for Alicia Wyatt is 1417382649. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Alicia Wyatt located?

Alicia Wyatt practices at 210 W 1st St, Saint Francis, KS 67756. The listed phone number is (785) 332-2104.

What is Alicia Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alicia Wyatt enrolled in Medicare?

Yes. Alicia Wyatt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alicia Wyatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Wyatt reassigns Medicare benefits to 3 organizations: Great Plains Of Cheyenne Co. Inc (St Francis, KS), Kansas Spine Anesthesia Corporation PA (Wichita, KS) and Mch Professional Care Hospital Based (Odessa, TX). 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 Alicia Wyatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Wyatt accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Alicia Wyatt 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 Alicia Wyatt was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.