Stacy J Aylward, APRN
Individual provider Active NPI Nurse Practitioner · Wichita, KS
NPI 1023040441 · NPPES record last updated Jan 21, 2015
Key facts
- NPI
- 1023040441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1389995051 (KS)
- Practice address
- 3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175 - Phone
- (316) 609-2600
- Fax
- (316) 609-2800
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abay Neuroscience Center LLC
Practice addresses (Care Compare)
3223 N Webb Rd
Suite 1
Wichita, KS 67226-8176
Phone (316) 609-2600
Hospital & facility affiliations
- Kansas Spine & Specialty Hospital, LLC
- Wesley Medical Center
- Ascension Via Christi Hospitals Wichita, Inc.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060920000091 | KS | Practitioner - Nurse Practitioner | 3476558776 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1389995051 | KS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abay Neuroscience Center LLC | Current |
Accepting new patients |
Locations
3223 N Webb Rd
Ste 1
Wichita, KS 67226
Phone (316) 609-2667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1389995051 | KS | Yes |
Addresses
Primary practice location
3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175
Mailing address
3223 N Webb Rd
Suite 1
Wichita, KS 67226-8175
Phone (316) 609-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200418950A | Medicaid | KS | |
| 1389995051 | Other | KS | KS RN LICENSE NUMBER |
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.