Active NPI
Sharita Stutesman
- Family Nurse Practitioner
- Emporia, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 81472
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
420 W 15TH Ave
Emporia, KS 66801-5367
Phone (620) 342-4864
Hospital & facility affiliations
- Newman Regional Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 144566 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carearc, Inc. | Current | Accepting new patients | |
| Carearc, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Emporia, KS
- NPI 1467413906
-
- Public Health or Welfare Agency
- Emporia, KS
- NPI 1760658108
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Emporia, KS
- NPI 1245643576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.