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MARY WACHAI CNP
NPI 1679281596
Nurse Practitioner - Acute Care in Lees Summit, MO

Active since November 09, 2022PECOS Enrolled
1309 NE ERNEST WAY, LEES SUMMIT, MO 64086(816) 838-7352 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mary Wachai Cnp NPPES

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

MARY WACHAI CNP (NPI 1679281596) is an individual acute care provider in Lees Summit, Missouri, licensed in Missouri (2022030317) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679281596
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARY WACHAICredential: CNP
Location Address1309 NE ERNEST WAYLees Summit, MO 64086-4000
Mailing Address1309 Ne Ernest WayLees Summit, MO 64086-4000 · (816) 838-7352
Phone(816) 838-7352
Sole ProprietorYes
Enumeration DateNovember 9, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1679281596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2022030317
1309 NE ERNEST WAY, Lees Summit, MO 64086
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Wachai Cnp 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 Reassignments

2

Medicare enrollment records show Mary Wachai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spine Pain And Rehab Associates LLC
7.1 mi
Pain Medicine
201 NW R D MIZE RD
Blue Springs, MO 64014
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1780157172 (816) 655-5270
P & c Healthcare LLC
7.8 mi
Hospitalist
19600 E 39TH ST S
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 71 clinicians in this Medicare group
NPI 1124575923 (913) 222-9779

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 64086 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.

Other Providers at the Same Location NPPES

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

MR. MOSES W NGOTHO REGISTERED NURSE
Registered Nurse (General Practice)
1309 NE ERNEST WAY
LEES SUMMIT, MO 64086
Jackson County (816) 695-2417

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 Mary Wachai's NPI number?

The NPI number for Mary Wachai is 1679281596. It was assigned to this individual provider in the NPPES registry on November 9, 2022.

Where is Mary Wachai located?

Mary Wachai practices at 1309 NE Ernest Way, Lees Summit, MO 64086. The listed phone number is (816) 838-7352.

What is Mary Wachai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mary Wachai enrolled in Medicare?

Yes. Mary Wachai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Wachai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Wachai reassigns Medicare benefits to 2 organizations: Spine Pain And Rehab Associates LLC (Blue Springs, MO) and P & c Healthcare LLC (Independence, MO). 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 Mary Wachai'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 Mary Wachai was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.