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SHIRLEY A VERBENEC RN, ANP
NPI 1790087922
Nurse Practitioner - Adult Health in Kansas City, KS

Active since November 19, 2010PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
4000 CAMBRIDGE, G600, MAILSTOP 4023, KANSAS CITY, KS 66160(913) 588-5000 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2021, Nov 16, 2017 (2 updates tracked since 2017).

About Shirley A Verbenec Rn, Anp NPPES

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

SHIRLEY A VERBENEC RN, ANP (NPI 1790087922) is an individual adult health provider in Kansas City, Kansas, licensed in Kansas (75119) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790087922
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHIRLEY A VERBENECCredential: RN, ANP
Location Address4000 CAMBRIDGE, G600, MAILSTOP 4023Kansas City, KS 66160
Mailing Address4000 Cambridge, G600, Mailstop 4023Kansas City, KS 66160 · (913) 588-5000
Phone(913) 588-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 19, 2010
Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1790087922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in KS · 75119✔ Licensed in MO · 2010028162
Also ListedRegistered NurseTaxonomy 163W00000X · License 148051 (MO)
4000 CAMBRIDGE, G600, Kansas City, KS 66160
Open in Google Maps ↗

Other Names 1

Former Name (1)Shirley A Smith

Accepted Insurance

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

Shirley A Verbenec Rn, Anp 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 ID2961691829
PECOS Enrollment IDI20111230000106
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 8

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.

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.
112 services96 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.
106 services90 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 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.
22 services19 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.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Lmh

Acute Care Hospitals · Lawrence, KS
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170137
Location325 Maine StreetLawrence, KS 66044 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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 Shirley Verbenec's NPI number?

The NPI number for Shirley Verbenec is 1790087922. It was assigned to this individual provider in the NPPES registry on November 19, 2010. The provider is also known as Shirley A Smith.

Where is Shirley Verbenec located?

Shirley Verbenec practices at 4000 Cambridge, G600 Mailstop 4023, Kansas City, KS 66160. The listed phone number is (913) 588-5000.

What is Shirley Verbenec's specialty?

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

Is Shirley Verbenec enrolled in Medicare?

Yes. Shirley Verbenec 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 Shirley Verbenec accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Shirley Verbenec 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.

Is Shirley Verbenec affiliated with any hospitals?

According to CMS data, Shirley Verbenec is affiliated with University Of Kansas Hospital and Lmh.

When was this NPI record last updated?

The NPPES record for Shirley Verbenec was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.