Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dane K Wicks, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1912989138

Dane K Wicks, MD is a Family Practice in Lees Summit, Missouri. Graduated from University of New Mexico School of Medicine in 1981, 45 years ago. Practices with Ch Specialty Services Mo LLC, a 107-clinician group and accepts Medicare assignment. Licensed in Missouri and New Mexico.

Years since qualifying
45
Trained at
University of New Mexico School of Medicine
Licensed in
MO, NM
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157
Phone: (337) 991-9276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R4C66 (MO)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 84-288 (NM)
Family Medicine Physician Taxonomy 207Q00000X · Licence 84-288 (NM)

Record details

NPI number1912989138
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address5750 Johnston St Ste 205, Lafayette, LA 70503-5345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Ch Specialty Services Mo Llc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lees Summit