Individual provider Active NPI

Stacy J Aylward, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1023040441
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1389995051 Issued in 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
Last updated
Jan 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1389995051 KS Primary

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 2

IdentifierTypeStateIssuer
1389995051OtherKSKS RN LICENSE NUMBER
200418950AMedicaidKS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060920000091 KS Practitioner - Nurse Practitioner 3476558776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abay Neuroscience Center LLCGroup PAC ID 4183666720, 16 clinicians

Practice addresses (Care Compare)

3223 N Webb Rd
Suite 1
Wichita, KS 67226-8176
Phone (316) 609-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1389995051KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abay Neuroscience Center LLC CurrentSince Jul 7, 2006 Accepting new patients

Locations

3223 N Webb Rd
Ste 1
Wichita, KS 67226
Phone (316) 609-2667

Organizations & group practices 1

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1023040441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-2600",
            "fax_number": "316-609-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD",
            "address_2": "SUITE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268175",
            "telephone_number": "316-609-2600",
            "fax_number": "316-609-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYLWARD",
        "first_name": "STACY",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "1389995051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS RN LICENSE NUMBER",
            "identifier": "1389995051",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200418950A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.