Individual provider Active NPI

Lorene L Stephan, A.R.N.P.

  • Family Nurse Practitioner
  • Marceline, MO
National Provider Identifier
1073511523
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44805 Issued in KS
Practice address
1600 N Missouri Ave
Marceline, MO 64658-1012
Phone
(660) 376-2038
Fax
(660) 376-3011
NPI assigned
Jul 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 146404 MO
Family Nurse Practitioner 363LF0000X 44805 KS Primary

Addresses

Primary practice location

1600 N Missouri Ave
Marceline, MO 64658-1012

Mailing address

1600 N Missouri
Marceline, MO 64658
Phone (660) 376-2038

Other practice location 1

8919 Parallel Pkwy Ste 250
Kansas City, KS 66112-1655
Phone (913) 596-3152

Other practice location 2

3550 S 4th St Ste 110
Leavenworth, KS 66048-5061
Phone (913) 680-6200

Other identifiers 1

IdentifierTypeStateIssuer
100358770FMedicaidKS

Other names 1

  • Miss Lorene L Noll Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050216000165 KS Practitioner - Nurse Practitioner 5092790063 Reassigns benefits to 2 organizations
I20140115000117 MO Practitioner - Nurse Practitioner 5092790063 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44805KSMDFamily Nurse Practitioner
146404MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Kansas LLC CurrentSince Dec 1, 2024 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jan 1, 2025 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jan 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2025 Accepting new patients
Jefferson County Memorial Hospital, Inc CurrentSince May 7, 2018 Accepting new patients

Locations

8919 Parallel Pkwy
Ste 250
Kansas City, KS 66112
Phone (913) 335-6000

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3550 S 4th St
Ste 110
Leavenworth, KS 66048
Phone (913) 680-6200

3550 S 4th St
Ste 200
Leavenworth, KS 66048
Phone (913) 680-6442

408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: renie.stephan@direct.lmh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1073511523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MISSOURI",
            "city": "MARCELINE",
            "state": "MO",
            "postal_code": "64658",
            "telephone_number": "660-376-2038",
            "fax_number": "660-376-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MISSOURI AVE",
            "city": "MARCELINE",
            "state": "MO",
            "postal_code": "646581012",
            "telephone_number": "660-376-2038",
            "fax_number": "660-376-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8919 Parallel Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121655",
            "country_code": "US",
            "telephone_number": "913-596-3152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 S 4th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660485061",
            "country_code": "US",
            "telephone_number": "913-680-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "LORENE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "146404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100358770F",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORENE",
            "last_name": "NOLL",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marceline, MO

Sources for this page

Verify at the official NPI Registry.