MRS. CEREASA LEEANN PATTERSON NURSE PRACTITIONER
NPI 1669048211
Nurse Practitioner - Family in Wichita, KS
About Mrs. Cereasa Leeann Patterson Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CEREASA LEEANN PATTERSON NURSE PRACTITIONER (NPI 1669048211) is an individual family provider in Wichita, Kansas, licensed in Kansas (53-80521-032) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wichita, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Cereasa Leeann Patterson Nurse Practitioner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Cereasa Patterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wichita, KS 67218
- Reassigned Medicare billing, Kansas enrollment
- 41 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Kansas enrollment
- 15 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 67218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WICHITA, KS 67218
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 Cereasa Patterson's NPI number?
The NPI number for Cereasa Patterson is 1669048211. It was assigned to this individual provider in the NPPES registry on June 2, 2021. The provider is also known as Cereasa Leeann Moore.
Where is Cereasa Patterson located?
Cereasa Patterson practices at 961 S Glendale St, Wichita, KS 67218. The listed phone number is (316) 618-9555.
What is Cereasa Patterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cereasa Patterson enrolled in Medicare?
Yes. Cereasa Patterson 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.
Which organizations bill Medicare for Cereasa Patterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cereasa Patterson reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care Ks PA (Wichita, KS) and House Call Medical Services (Wichita, KS). 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 Cereasa Patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cereasa Patterson accept?
Health plans from UnitedHealthcare list Cereasa Patterson 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 Cereasa Patterson was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Cereasa Leeann Patterson, NURSE PRACTITIONER · NPI 1669048211
Family physician in Wichita, Kansas. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1669048211 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-80521-032 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 961 S GLENDALE ST, Wichita, KS 67218-3210
- **Phone:** (316) 618-9555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centerwell Senior Primary Care Ks PA (NPI 1013737576, Wichita, KS); House Call Medical Services (NPI 1417276791, Wichita, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1669048211) · Data from the CMS NPPES public registry.