NICKA KHALILOVA N.P.
NPI 1598102204
Nurse Practitioner - Adult Health in Blue Springs, MO

Q: What is Nicka Khalilova's NPI number?

The NPI number for Nicka Khalilova is 1598102204. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Q: What is Nicka Khalilova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicka Khalilova was last updated on May 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment

201 NW R D MIZE RD STE 206, BLUE SPRINGS, MO 64014(816) 655-5403(816) 655-5257 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 31, 2023, Oct 2, 2022, Dec 20, 2016 (3 updates tracked since 2016).

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About Nicka Khalilova N.p. NPPES

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

NICKA KHALILOVA N.P. (NPI 1598102204) is an individual adult health provider in Blue Springs, Missouri, licensed in Michigan (4704312135) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1598102204

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameNICKA KHALILOVACredential: N.P.

Location Address201 NW R D MIZE RD STE 206Blue Springs, MO 64014-2513

Mailing Address4401 Wornall RdKansas City, MO 64111-3241 · (816) 932-0340 · Fax (816) 932-3148

Phone(816) 655-5403

Fax(816) 655-5257

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 4, 2013

Last NPPES UpdateMay 31, 20233 updates tracked since enumeration

NPPES CertifiedMay 31, 2023

✔ NPI 1598102204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in MI · 4704312135✔ Licensed in KS · 75966✔ Licensed in MO · 2013015317

Also ListedNurse PractitionerTaxonomy 363L00000X · License 75966 (KS), 2013015317 (MO)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2013015317 (MO), 75966 (KS)

201 NW R D MIZE RD STE 206, Blue Springs, MO 64014

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Secondary Practice Location 1

Location 14401 Wornall RdKansas City, MO 64111-3241 · Phone (816) 932-0340 · Fax (816) 932-3148

Accepted Insurance

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

Nicka Khalilova N.p. 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 ID2860626348

PECOS Enrollment IDI20131018001351

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

140 services136 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260078

Location1100 Kentucky AveWest Plains, MO 65775 · Howell County

Emergency services Birthing friendly

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260216

Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64014 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.

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Other Providers at the Same Location NPPES 6

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

DR. WILLIAM F SUDHOLT D.O.

Internal Medicine