DONALD EDWIN TANNER FNP-C
NPI 1417738717
Nurse Practitioner - Family in Lees Summit, MO

Active since October 12, 2023PECOS EnrolledAccepts Medicare Assignment
1120 NE BANNER DR, LEES SUMMIT, MO 64086(816) 207-9099 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Edwin Tanner Fnp-c NPPES

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

DONALD EDWIN TANNER FNP-C (NPI 1417738717) is an individual family provider in Lees Summit, Missouri, licensed in Missouri (2023041401) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417738717
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD EDWIN TANNERCredential: FNP-C
Location Address1120 NE BANNER DRLees Summit, MO 64086-6715
Mailing Address1120 Ne Banner DrLees Summit, MO 64086-6715 · (816) 207-9099
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 4, 2023
NPI 1417738717 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 · 2023041401
1120 NE BANNER DR, Lees Summit, MO 64086

Accepted Insurance

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

Donald Edwin Tanner Fnp-c 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 ID547606550
PECOS Enrollment IDI20240313001612
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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.

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 Donald Tanner's NPI number?

The NPI number for Donald Tanner is 1417738717. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Donald Tanner located?

Donald Tanner practices at 1120 NE Banner Dr, Lees Summit, MO 64086. The listed phone number is (816) 207-9099.

What is Donald Tanner's specialty?

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

Is Donald Tanner enrolled in Medicare?

Yes. Donald Tanner 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.

What insurance does Donald Tanner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Donald Tanner 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 Donald Tanner was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.