Stacie Leah Pruett, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022021022 Issued in MO

Practice address

24221 S Rockhaven Rd
Peculiar, MO 64078-9679

Phone

(816) 308-5877

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriatric Primary Care PAGroup PAC ID 2466796024, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15058/brand/2/csg/1/fhir/r4

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.

• Geriatric Primary Care PA

  • Family Medicine Physician
  • Raymore, MO
  • NPI 1073082350

  KS

  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Kansas City Urology Care, P.a.

  • Urology Physician
  • Overland Park, KS
  • NPI 1528024676
  NPD

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

• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  Care Compare affiliation
• Bates County Memorial Hospital Ambulance

  • Land Ambulance
  • Butler, MO
  • NPI 1356448740

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1003546789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24221 S ROCKHAVEN RD",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789679",
            "telephone_number": "816-308-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24221 S ROCKHAVEN RD",
            "city": "PECULIAR",
            "state": "MO",
            "postal_code": "640789679",
            "telephone_number": "816-308-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "STACIE",
        "middle_name": "LEAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022021022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peculiar Family Chiropractic & Sports Medicine,
• Peculiar Medical Clinic (Cass Medical Center)
• Peculiar Pharmacy LLC
• Lucinda Pennington, MS, MA
• Sheryl Lynn Phillips, RPH
• Psylin, Inc.
• Raymore-Peculiar Reorganized School
• Emma Jane Rewerts
• Rummerfield Chiropractic LLC
• Kenneth W Rummerfield, D.C.

• Family Nurse Practitioner in Peculiar, MO
• Providers in Peculiar, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.