KATHERINE WILSON
NPI 1710496351
Nurse Practitioner - Adult Health in Lees Summit, MO

Q: What is Katherine Wilson's NPI number?

The NPI number for Katherine Wilson is 1710496351. It was assigned to this individual provider in the NPPES registry on September 27, 2017.

Q: What is Katherine Wilson'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 Katherine Wilson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 27, 2017PECOS EnrolledAccepts Medicare Assignment

2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064(816) 525-2840(816) 525-2841 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Jan 25, 2022, Nov 13, 2017 (3 updates tracked since 2017).

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About Katherine Wilson NPPES

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

KATHERINE WILSON (NPI 1710496351) is an individual adult health provider in Lees Summit, Missouri, licensed in Missouri (2022028990) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Menorah Medical Center, and maintains a secondary practice location in Overland Park.

NPPES Registry Identity

NPI1710496351

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHERINE WILSON

Location Address2861 NE INDEPENDENCE AVE STE 201Lees Summit, MO 64064-2379

Mailing Address2861 Ne Independence Ave Ste 201Lees Summit, MO 64064-2379 · (816) 525-2840 · Fax (816) 525-2841

Phone(816) 525-2840

Fax(816) 525-2841

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2017

Enumeration DateSeptember 27, 2017

Last NPPES UpdateApril 8, 20263 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1710496351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2200X

Licenses✔ Licensed in MO · 2022028990✔ Licensed in KS · 53-77899

2861 NE INDEPENDENCE AVE STE 201, Lees Summit, MO 64064

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Secondary Practice Location 1

Location 111340 Nall Ave Ste 200Overland Park, KS 66211-1234 · Phone (816) 525-2840 · Fax (816) 525-2841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Katherine Wilson 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 ID941567457

PECOS Enrollment IDI20171207002123, I20260422000299

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 Reassignment

Medicare enrollment records show Katherine Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Orthopedics And Sports Medicine

Same address

Orthopaedic Surgery

2861 NE INDEPENDENCE AVE STE 201
Lees Summit, MO 64064

Reassigned Medicare billing, Kansas and Missouri enrollments
40 clinicians in this Medicare group

NPI 1003268087 (816) 525-2840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

30 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services25 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

16 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS

3/5 CMS rating

OwnershipProprietary

CMS Certification Number170182

Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County

Emergency services

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

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipProprietary

CMS Certification Number260190

Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County

Emergency services

Belton Regional Medical Center

Acute Care Hospitals · Belton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260214

Location17065 S 71 HighwayBelton, MO 64012 · Cass County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64064 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 20

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

ADVANCED ORTHOPEDICS AND SPORTS MEDICINE

Orthopaedic Surgery