Nicka Khalilova, NP - Medicare Nurse Practitioner in Blue Springs, MO

Nicka Khalilova, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Blue Springs, Missouri. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Lukes Physician Group Inc, Bothwell Regional Health Center and her current practice location is 201 Nw R D Mize Rd Ste 206, Blue Springs, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 655-5403.

Nicka Khalilova is licensed to practice in Michigan (license number 4704312135) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598102204.

Contact Information

Nicka Khalilova, NP
201 Nw R D Mize Rd Ste 206,
Blue Springs, MO 64014-2513
(816) 655-5403
(816) 655-5257

Map and Direction




Provider's Profile

Full NameNicka Khalilova
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location201 Nw R D Mize Rd Ste 206, Blue Springs, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicka Khalilova graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1598102204
  • Provider Enumeration Date: 06/04/2013
  • Last Update Date: 05/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860626348
  • Enrollment ID: I20131018001351

Medical Identifiers

Medical identifiers for Nicka Khalilova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598102204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 2013015317 (Missouri)Secondary
363LA2200XNurse Practitioner - Adult Health 4704312135 (Michigan)Primary
363L00000XNurse Practitioner 75966 (Kansas)Secondary
363L00000XNurse Practitioner 2013015317 (Missouri)Secondary
363LG0600XNurse Practitioner - Gerontology 75966 (Kansas)Secondary
363LA2200XNurse Practitioner - Adult Health 75966 (Kansas)Secondary
363LA2200XNurse Practitioner - Adult Health 2013015317 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bothwell Regional Health CenterSedalia, MOHospital
St Lukes Hospital Of Kansas CityKansas city, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Lukes Physician Group Inc35774768941052
Bothwell Regional Health Center610371412690

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicka Khalilova allows following entities to bill medicare on her behalf.
Entity NameSaint Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093263717
PECOS PAC ID: 3577476894
Enrollment ID: O20031111000818
Entity NameBothwell Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235102690
PECOS PAC ID: 6103714126
Enrollment ID: O20040310000246
Entity NameCogent Healthcare Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NamePrime Healthcare Kansas City - Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427449487
PECOS PAC ID: 7315267325
Enrollment ID: O20150514001835
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666
Entity NameHospitalist Medicine Physicians Of Missouri - Bridgeton, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275012452
PECOS PAC ID: 2567713571
Enrollment ID: O20181001001537

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicka Khalilova is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicka Khalilova, NP
4401 Wornall Rd,
Kansas City, MO 64111-3241

Ph: (816) 932-0340
Nicka Khalilova, NP
201 Nw R D Mize Rd Ste 206,
Blue Springs, MO 64014-2513

Ph: (816) 655-5403

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.