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

Traci Willard, NP

Individual provider Acute Care Nurse Practitioner · NPI 1063884708

Traci Willard, NP is a Nurse Practitioner in Leawood, Kansas. Qualified in 2015, 11 years ago. Practices with Geriatric Primary Care PA, a 16-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
11
Licensed in
KS, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

12120 State Line Rd # 296
Leawood, KS 66209-1254
Phone: (913) 302-7183
Fax: (888) 779-3217
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 53-77126-051 (KS)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 102736 (MO)

Record details

NPI number1063884708
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address17755 S Laverty St, Olathe, KS 66062-4528

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Geriatric Primary Care Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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