Individual provider Active NPI

Aniesa Slack, M.D.

  • Family Medicine Physician
  • Lenexa, KS
National Provider Identifier
1730506684
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-52035 Issued in KS
Practice address
10950 W 86TH St
Lenexa, KS 66214-1634
Phone
(913) 722-4240
Fax
(913) 721-0298
NPI assigned
Mar 27, 2014
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-52035 KS Primary
Family Medicine Physician 207Q00000X 2017020535 MO

Addresses

Primary practice location

10950 W 86TH St
Lenexa, KS 66214-1634

Mailing address

5675 Roe Blvd Ste 100
Roeland Park, KS 66205-2538
Phone (913) 432-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170809002544 MO Practitioner - Family Practice 4183926629 Reassigns benefits to 3 organizations
I20251105000283 KS Practitioner - Family Practice 4183926629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunflower Medical Group PAGroup PAC ID 0042286106, 36 clinicians
Excelsior Springs City HospitalGroup PAC ID 7315847209, shared by 5 NPIs, 39 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

10950 W 86TH St
Overland Park, KS 66214-1634
Phone (913) 722-4240

1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-52035KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs City Hospital Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Excelsior Springs City Hospital Current Accepting new patients
Excelsior Springs City Hospital CurrentSince Dec 31, 2025 Accepting new patients
University Health Physicians Family Medicine CurrentSince Aug 2, 2017 Accepting new patients
Sunflower Medical Group PA Family Medicine CurrentSince Nov 10, 2025 Accepting new patients
Sunflower Medical Group, PA Family Medicine PastSince Nov 10, 2025 Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

2040 Hutton Rd
Ste 102
Kansas City, KS 66109
Phone (913) 299-3700

10950 W 86th St
Overland Park, KS 66214
Phone (913) 432-2080

5675 Roe Blvd
Ste 100
Roeland Park, KS 66205
Phone (913) 432-2080

1700 Rainbow Blvd
Exclsor Sprgs, MO 64024

2301 Holmes St
Kansas City, MO 64108

2310 Holmes St
Ste 800
Kansas City, MO 64108
Phone (816) 218-2500

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

Organizations & group practices 7

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 2

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": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1730506684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD STE 100",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052538",
            "telephone_number": "913-432-3780",
            "fax_number": "913-432-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 W 86TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141634",
            "telephone_number": "913-722-4240",
            "fax_number": "913-721-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ANIESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-52035",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2017020535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.