Individual provider Active NPI

Stephanie Raychael Hulse, NP-FNP

  • Family Nurse Practitioner
  • Lee's Summit, MO
National Provider Identifier
1033706619
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020042549 Issued in MO
Practice address
6 SW 2ND St
Lees Summit, MO 64063-2317
Phone
(816) 246-1122
Fax
(816) 287-4279
NPI assigned
Dec 29, 2020
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-81061 KS
Family Nurse Practitioner 363LF0000X 2020042549 MO Primary

Addresses

Primary practice location

6 SW 2ND St
Lees Summit, MO 64063-2317

Mailing address

6 SW 2ND St
Lees Summit, MO 64063-2317
Phone (816) 246-1122

Other identifiers 1

IdentifierTypeStateIssuer
420092300MedicaidMO

Other names 1

  • Stephanie Raychael Noland Former name

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
I20220504000693 KS Practitioner - Nurse Practitioner 5991119521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9100 W 74TH St
Merriam, KS 66204-4004

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-81061KSMDFamily Nurse Practitioner
2020042549MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc CurrentSince May 2, 2022 Accepting new patients

Locations

7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400

Interoperability endpoints

  • Direct secure messaging: shulse1209643@adventhealth.direct-ci.com

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 2

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1033706619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SW 2ND ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632317",
            "telephone_number": "816-246-1122",
            "fax_number": "816-287-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SW 2ND ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632317",
            "telephone_number": "816-246-1122",
            "fax_number": "816-287-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "STEPHANIE",
        "middle_name": "RAYCHAEL",
        "name_prefix": "Mrs.",
        "credential": "NP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81061",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020042549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420092300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "NOLAND",
            "middle_name": "RAYCHAEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

Verify at the official NPI Registry.