Cheryl Rae Judkins, FNP-BC is a medicare enrolled "Nurse Practitioner" physician in Olathe, Kansas. Her current practice location is
1391 E 120th St, Olathe, Kansas. You can reach out to her office (for appointments etc.) via phone at
(816) 288-3083.
Cheryl Rae Judkins is licensed to practice in Kansas (license number 53-79548-111) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023600780.
Physician's Profile
| Full Name | Cheryl Rae Judkins |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1391 E 120th St, Olathe, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023600780
- Provider Enumeration Date: 02/04/2021
- Last Update Date: 05/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 4385052653
- Enrollment ID: I20210427000239
Medical Identifiers
Medical identifiers for Cheryl Rae Judkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023600780 | NPI | - | NPPES |
| NA | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 53-79548-111 (Kansas) | Secondary |
| 363L00000X | Nurse Practitioner | 53-79548-111 (Kansas) | Primary |
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. Cheryl Rae Judkins allows following entities to bill medicare on her behalf.
| Entity Name | Prime Healthcare Physician Services - Providence Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356683213 PECOS PAC ID: 1052553906 Enrollment ID: O20130806000598 |
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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. Cheryl Rae Judkins 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 Address | Practice Location Address |
Cheryl Rae Judkins, FNP-BC 211 Cherry Ave, Oakley, KS 67748-1218 Ph: (785) 672-3211 | Cheryl Rae Judkins, FNP-BC 1391 E 120th St, Olathe, KS 66061-9506 Ph: (816) 288-3083 |
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