Individual provider Active NPI

Stephanie R Duarte, MSN,FNP,BC

  • Family Nurse Practitioner
  • Pleasant Hill, MO
National Provider Identifier
1013054717
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
140945 Issued in MO
Practice address
1601 N State Route 7
Pleasant Hill, MO 64080-1945
Phone
(816) 540-2111
Fax
(816) 540-6065
NPI assigned
Jan 31, 2007
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 140945 MO Primary

Addresses

Primary practice location

1601 N State Route 7
Pleasant Hill, MO 64080-1945

Mailing address

1601 N State Route 7
Pleasant Hill, MO 64080-1945
Phone (816) 540-2111

Other identifiers 2

IdentifierTypeStateIssuer
706F445OtherMEDICARE INDIVIDUAL
598296101MedicaidMO

Other names 1

  • Mrs. Stephanie R. Thurlo Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000141 MO Practitioner - Nurse Practitioner 8123110806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass Regional Medical CenterGroup PAC ID 7517853781, 44 clinicians

Practice addresses (Care Compare)

1601 N State Route 7
Pleasant Hill Medical Clinic
Pleasant Hill, MO 64080-1945
Phone (816) 540-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
140945MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Dec 1, 2011 Accepting new patients
Cass Regional Medical Center CurrentSince Dec 1, 2011 Accepting new patients
Cass Regional Medical Center Past Accepting new patients
Cass Medical Center Past Accepting new patients

Locations

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

300 S Main St
Peculiar, MO 64078
Phone (816) 779-1100

594 Schug Ave
Peculiar, MO 64078
Phone (816) 779-1100

1601 N State Route 7
Pleasant Hill, MO 64080
Phone (816) 540-2111

Interoperability endpoints

  • Direct secure messaging: stephanie.duarte@cassregional.direct-ci.com

Organizations & group practices 4

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 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1013054717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N STATE ROUTE 7",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801945",
            "telephone_number": "816-540-2111",
            "fax_number": "816-540-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N STATE ROUTE 7",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640801945",
            "telephone_number": "816-540-2111",
            "fax_number": "816-540-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSN,FNP,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "140945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "706F445",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598296101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "THURLO",
            "middle_name": "R.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasant Hill, MO

Sources for this page

Verify at the official NPI Registry.