KATHRYN MICHELLE PUTNAM REZAC PA
NPI 1588746366
Physician Assistant - Medical in Lees Summit, MO

Q: What is Kathryn Rezac's NPI number?

The NPI number for Kathryn Rezac is 1588746366. It was assigned to this individual provider in the NPPES registry on October 20, 2006. The provider is also known as Kathryn Michelle Putnam PA.

Q: What is Kathryn Rezac's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Kathryn Rezac enrolled in Medicare?

No. Kathryn Rezac has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Rezac was last updated on June 29, 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 October 20, 2006Opted out of Medicare · through Sep 1, 2027

2100 SE BLUE PKWY, LEES SUMMIT, MO 64063(816) 282-5000 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Michelle Putnam Rezac Pa NPPES

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

KATHRYN MICHELLE PUTNAM REZAC PA (NPI 1588746366) is an individual medical provider in Lees Summit, Missouri, licensed in Missouri (2005001379) and active in the NPI registry since October 2006. She has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1588746366

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKATHRYN MICHELLE PUTNAM REZACCredential: PA

Location Address2100 SE BLUE PKWYLees Summit, MO 64063-1007

Mailing Address18167 Us Highway 19 N, Suite 650Clearwater, FL 33764-3528 · (800) 507-8874

Phone(816) 282-5000

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateJune 29, 2015

✔ NPI 1588746366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in MO · 2005001379✔ Licensed in KS · 1500996

2100 SE BLUE PKWY, Lees Summit, MO 64063

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Other Names 1

Former Name (1)Kathryn Michelle Putnam Pa

Other Identifiers 1

Medicare UPINP87525MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathryn Michelle Putnam Rezac Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2017 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2017

Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MR. COLTON MICHAEL BITELY MD

Emergency Medicine