Individual provider Active NPI

Whitney Blaire Fancher, M.D.

  • MOHS-Micrographic Surgery Physician
  • Overland Park, KS
National Provider Identifier
1053699645
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
04-47805 Issued in KS
Practice address
7520 W 160TH St Ste 100
Overland Park, KS 66085-8137
Phone
(913) 871-8221
NPI assigned
Jul 30, 2011
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 04-47805 KS
Dermatology Physician 207N00000X MD177022 OR
MOHS-Micrographic Surgery Physician 207ND0101X MD177022 OR
MOHS-Micrographic Surgery Physician 207ND0101X 04-47805 KS Primary

Addresses

Primary practice location

7520 W 160TH St Ste 100
Overland Park, KS 66085-8137

Mailing address

4110 W 157TH Ter
Overland Park, KS 66224-3529
Phone (417) 848-6148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607000566 KS Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0749595296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Valley Dermatology LLCGroup PAC ID 9133499973, 12 clinicians

Practice addresses (Care Compare)

7520 W 160TH St
Suite 100
Overland Park, KS 66085-8137
Phone (913) 871-8221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision203
Removal of tissue76
Removal of skin lesions107
Removal of skin cancer761
Removal or shaving of skin growth1-10
Skin biopsy126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD177022ORMDDermatology Physician
04-47805KSMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Dermatology LLC Dermatology CurrentSince Jun 1, 2023 Accepting new patients
Clarity Dermatology and Skin Cancer Center LLC Dermatology Current Accepting new patients

Locations

7840 W 165th St
Ste 260
Overland Park, KS 66223
Phone (913) 632-9400

7520 W 160th St
Ste 100
Stilwell, KS 66085
Phone (913) 871-8221

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1053699645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 W 157TH TER",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662243529",
            "telephone_number": "417-848-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 W 160TH ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858137",
            "telephone_number": "913-871-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANCHER",
        "first_name": "WHITNEY",
        "middle_name": "BLAIRE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-30",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-47805",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD177022",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OR",
            "license": "MD177022",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KS",
            "license": "04-47805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.