Individual provider Active NPI

Deborah Dawn McKibben, FNP-BC

  • Family Nurse Practitioner
  • Marion, KS
National Provider Identifier
1245077627
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83374-111 Issued in KS
Practice address
535 S Freeborn St
Marion, KS 66861-1256
Phone
(620) 382-2177
NPI assigned
Jul 11, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025027366 MO
Family Nurse Practitioner 363LF0000X 53-83374-111 KS Primary
General Practice Physician 208D00000X 53-83374-111 KS

Addresses

Primary practice location

535 S Freeborn St
Marion, KS 66861-1256

Mailing address

3928 Neosho Rd
Cummings, KS 66016-9063
Phone (913) 370-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240829003201 KS Practitioner - Nurse Practitioner 7810436136 Reassigns benefits to 2 organizations
I20251118001054 MO Practitioner - Nurse Practitioner 7810436136

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital District No 1 Marion CoGroup PAC ID 7517923196, shared by 5 NPIs, 13 clinicians

Practice addresses (Care Compare)

535 S Freeborn St
Marion, KS 66861-1256
Phone (620) 382-2177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-83374-111KSMDGeneral Practice Physician
2025027366MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 1 Marion Co CurrentSince Aug 1, 2024 Accepting new patients
Kansas Carenow Urgent Care LLC CurrentSince Dec 8, 2025 Accepting new patients
Hospital District No 1 Marion Co Current Accepting new patients
Hospital District No 1 Marion Co CurrentSince Aug 1, 2024 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients
Jefferson County Memorial Hospital, Inc Past Accepting new patients

Locations

535 S Freeborn St
Marion, KS 66861
Phone (620) 382-2177

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

17700 E 39th St S
Independence, MO 64055
Phone (816) 393-0250

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1245077627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 NEOSHO RD",
            "city": "CUMMINGS",
            "state": "KS",
            "postal_code": "660169063",
            "telephone_number": "913-370-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIBBEN",
        "first_name": "DEBORAH",
        "middle_name": "DAWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025027366",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83374-111",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KS",
            "license": "53-83374-111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, KS

Sources for this page

Verify at the official NPI Registry.