Stacy Dawn Younger, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0426689 Issued in KS

Practice address

12140 Nall Ave
Suite 230
Overland Park, KS 66209-2503

Phone

(913) 661-9434

Fax

(913) 661-4688

NPI assigned

Jun 1, 2005

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

Other identifiers 3

Other names 1

• Miss Stacy Dawn Whitaker Former name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

University of Kansas School of Med (KC/Wich/Sal), 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson County Neurology LLCGroup PAC ID 8224134226, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
• Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
• Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176
• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324

Merit-based Incentive Payment System (MIPS)

Final score

92.27 of 100Reported as individual

Quality

84.55

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.younger@hca2.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Johnson County Neurology LLC

  • Neurology Physician
  • Overland Park, KS
  • NPI 1194850115
  Medicare reassignment Care Compare group NPD
• Mid-America Polyclinic PA

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
  • NPI 1124087861
  NPD (past)
• The Headache & Pain Center, P. a.

  • Ambulatory Surgical Clinic/Center
  • Overland Park, KS
  • NPI 1972570414
  NPD (past)

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

• Midwest Division - MMC, LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337
  Care Compare affiliation
• Midwest Division-Oprmc LLC

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1578500484
  Care Compare affiliation
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Care Compare affiliation
• Midwest Division - LSH, LLC

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Midwest Division - RBH, LLC

  • General Acute Care Hospital
  • Belton, MO
  • NPI 1063470763
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1043212210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE",
            "address_2": "SUITE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-661-9434",
            "fax_number": "913-661-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NALL AVE",
            "address_2": "SUITE 230",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092503",
            "telephone_number": "913-661-9434",
            "fax_number": "913-661-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "STACY",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "0426689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446230A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100446230B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207860008",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "STACY.YOUNGER@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12140 Nall Ave",
            "address_2": "SUITE 230",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662092503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "WHITAKER",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Beth Young, OTR
• Victoria Maeve Young, LCSW, LSCSW
• William Young II, CSFA, ST
• Alyssa-Rae Z Younger, D.C.
• Kyle R Younger, D.C.
• Courtney Younglove, M.D.
• Robert Hal Younglove, M.D.
• Sharese Yount, PMHNP
• Your Ritualist LLC
• Your Vision

• Neurology Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Neurology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.