Dane K Wicks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R4C66 Issued in MO

Practice address

400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157

Phone

(337) 991-9276

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

University of New Mexico School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tiffany Springs Rehabilitation & Health Care Cente Nursing home, Kansas City, MO, CCN 265863

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwicks11863@ahs.direct-ci.com

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

• CH Specialty Services Mo LLC

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1194422253
  Medicare reassignment Care Compare group NPD
• Curana Health of Missouri-Kansas LLC

  dba Elite Patient Care

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1306165337
  Medicare reassignment Care Compare group NPD
• Summit Medical Associates LLC

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1699718338
  NPD (past)
• Tiffany Springs Rehabilitation & Health Care Center LLC

  dba Tiffany Springs Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1972042190
  NPD (past)
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Family Medicine

  NPD (past)
• Encompass Medical Group, PA

  dba Encompass Medical Group, PC

  • General Practice Physician
  • Overland Park, KS
  • NPI 1063457299

  Family Medicine

  NPD (past)

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

• Tiffany Springs Rehabilitation & Health Care Center LLC

  dba Tiffany Springs Rehabilitation & Health Care Center

  • Skilled Nursing Facility
  • Kansas City, MO
  • NPI 1972042190

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1912989138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035345",
            "telephone_number": "337-991-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW LONGVIEW BLVD STE 280",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812157",
            "telephone_number": "337-991-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "DANE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "84-288",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "84-288",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4C66",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34025",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin David White, DC
• Kiersten Marie White
• Whiting & Associates, LLC
• Jerri Lynn Whiting, PH.D.
• Sean Whitmore
• Amy Wieboldt, LCSW
• Tyann Wiederholt
• Janna Wiele, MSW, LCSW
• Samantha Wiemann
• Patricia A Wike, P.T.

• Family Medicine Physician in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.