Individual provider Active NPI

Sharita Stutesman

  • Family Nurse Practitioner
  • Emporia, KS
National Provider Identifier
1043829989
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81472 Issued in KS
Practice address
420 W 15TH Ave
Emporia, KS 66801-5367
Phone
(620) 342-4864
Fax
(620) 343-3545
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 144566 KS
Family Nurse Practitioner 363LF0000X 81472 KS Primary

Addresses

Primary practice location

420 W 15TH Ave
Emporia, KS 66801-5367

Mailing address

1143 Road 30
Madison, KS 66860-8906
Phone (785) 824-8017

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
I20220912001574 KS Practitioner - Nurse Practitioner 7911382908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carearc IncGroup PAC ID 2961474663, 11 clinicians

Practice addresses (Care Compare)

420 W 15TH Ave
Emporia, KS 66801-5367
Phone (620) 342-4864

Hospital & facility affiliations

  • Newman Regional Health Hospital, Emporia, KS, CCN 171384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
144566KSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carearc, Inc. CurrentSince Aug 31, 2022 Accepting new patients
Carearc, Inc. CurrentSince Aug 31, 2022 Accepting new patients

Locations

420 W 15th Ave
Emporia, KS 66801
Phone (620) 342-4864

1602 N Elm St
Eureka, KS 67045
Phone (620) 583-7436

Organizations & group practices 2

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.

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1043829989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 ROAD 30",
            "city": "MADISON",
            "state": "KS",
            "postal_code": "668608906",
            "telephone_number": "785-824-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015367",
            "telephone_number": "620-342-4864",
            "fax_number": "620-343-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTESMAN",
        "first_name": "SHARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-04-18",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "144566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

Verify at the official NPI Registry.