KRISTIN LAINE NERSESYAN FNP-C
NPI 1467052381
Nurse Practitioner - Family in Lees Summit, MO

Active since October 29, 2020PECOS Enrolled
916 SW BENNINGTON PL, LEES SUMMIT, MO 64081(816) 204-8808 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 17, 2021, Oct 29, 2020 (2 updates tracked since 2020).

About Kristin Laine Nersesyan Fnp-c NPPES

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

KRISTIN LAINE NERSESYAN FNP-C (NPI 1467052381) is an individual family provider in Lees Summit, Missouri, licensed in Missouri (2020036565) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467052381
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTIN LAINE NERSESYANCredential: FNP-C
Location Address916 SW BENNINGTON PLLees Summit, MO 64081-3700
Mailing Address916 Sw Bennington PlLees Summit, MO 64081-3700 · (816) 204-8808
Sole ProprietorNo
Enumeration DateOctober 29, 2020
Last NPPES UpdateOctober 17, 20212 updates tracked since enumeration
NPPES CertifiedOctober 17, 2021
✔ NPI 1467052381 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 · 2020036565
916 SW BENNINGTON PL, Lees Summit, MO 64081

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Laine Nersesyan Fnp-c 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 Kristin Nersesyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group

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 64081 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 Kristin Nersesyan's NPI number?

The NPI number for Kristin Nersesyan is 1467052381. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Where is Kristin Nersesyan located?

Kristin Nersesyan practices at 916 SW Bennington Pl, Lees Summit, MO 64081. The listed phone number is (816) 204-8808.

What is Kristin Nersesyan's specialty?

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

Is Kristin Nersesyan enrolled in Medicare?

Yes. Kristin Nersesyan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Nersesyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Nersesyan reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Kristin Nersesyan'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 Kristin Nersesyan was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.