SAGE NICOLAUS NP
NPI 1922967991
Nurse Practitioner in Kansas City, MO

Q: What is Sage Nicolaus's NPI number?

The NPI number for Sage Nicolaus is 1922967991. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Q: What is Sage Nicolaus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sage Nicolaus was last updated on January 16, 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.

Active since January 16, 2026PECOS EnrolledAccepts Medicare Assignment

500 NE BARRY RD, KANSAS CITY, MO 64155(816) 521-5792(816) 251-5791 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Sage Nicolaus Np NPPES

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

SAGE NICOLAUS NP (NPI 1922967991) is an individual nurse practitioner in Kansas City, Missouri, licensed in Missouri (2025042803) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922967991

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAGE NICOLAUSCredential: NP

Location Address500 NE BARRY RDKansas City, MO 64155-2879

Mailing Address7706 Ne 103rd StKansas City, MO 64157-8069 · (816) 442-5292

Phone(816) 521-5792

Fax(816) 251-5791

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 16, 2026

NPPES CertifiedJanuary 16, 2026

✔ NPI 1922967991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MO · 2025042803✔ Licensed in KS · 53-84890-081

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 2019009056 (MO)

500 NE BARRY RD, Kansas City, MO 64155

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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

Sage Nicolaus Np 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 ID9739654385

PECOS Enrollment IDI20260410002228

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.

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64155 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 8

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

MR. HARVEY H HAYNES RPH

Pharmacist

500 NE BARRY RD, PRICE CHOPPER PHARMACY
KANSAS CITY, MO 64155

Clay County (816) 468-7666

FOUR B CORP

Pharmacy