MRS. CEREASA LEEANN PATTERSON NURSE PRACTITIONER
NPI 1669048211
Nurse Practitioner - Family in Wichita, KS

Active since June 02, 2021PECOS EnrolledAccepts Medicare Assignment
68.87/100
CMS Quality Rating
961 S GLENDALE ST, WICHITA, KS 67218(316) 618-9555 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2026, Jan 12, 2026, Dec 18, 2024 and 3 more (6 updates tracked since 2021).

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 and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669048211
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CEREASA LEEANN PATTERSONCredential: NURSE PRACTITIONER
Location Address961 S GLENDALE STWichita, KS 67218-3210
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateMarch 2, 20266 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1669048211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KS · 53-80521-032
Also ListedRegistered NurseTaxonomy 163W00000X · License 13-134071-032 (KS)
961 S GLENDALE ST, Wichita, KS 67218

Other Names 1

Former Name (1)Cereasa Leeann Moore

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

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.

PECOS PAC ID1951708130
PECOS Enrollment IDI20210930002814
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.

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.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

68.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.58
Improvement Activities40
Cost29.23

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
32%37 patients2/55-star benchmark: 87%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier14 claims28 services$2.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
961 S GLENDALE ST
WICHITA, KS 67218
Internal Medicine
961 S GLENDALE ST
WICHITA, KS 67218
Family Medicine
961 S GLENDALE ST
WICHITA, KS 67218
Non-Pharmacy Dispensing Site
961 S GLENDALE ST
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.

What insurance does Cereasa Patterson accept?

Health plans from Medica, Oscar Insurance Company and 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 5 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.