Individual provider Active NPI

Stephanie Lisette Volker, PA-C

  • Physician Assistant
  • North Kansas City, MO
National Provider Identifier
1073962668
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2021024903 Issued in MO
Practice address
2750 Clay Edwards Dr Ste 312
North Kansas City, MO 64116-3256
Phone
(816) 691-1185
Fax
(816) 346-7085
NPI assigned
Jun 6, 2016
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2021024903 MO Primary

Addresses

Primary practice location

2750 Clay Edwards Dr Ste 312
North Kansas City, MO 64116-3256

Mailing address

2790 Clay Edwards Dr Ste 530
North Kansas City, MO 64116-3266
Phone (816) 452-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210907001460 MO Practitioner - Physician Assistant 4284929738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

9411 N Oak Trfy
Suite 260
Kansas City, MO 64155-2281
Phone (816) 221-6750

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Oct 18, 2021 Accepting new patients
Meritas Health Corporation CurrentSince Oct 18, 2021 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

9411 N Oak Trfy
Ste 260
Kansas City, MO 64155
Phone (816) 453-4000

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2750 Clay Edwards Dr
Ste 312
North Kansas City, MO 64116
Phone (816) 453-4000

2790 Clay Edwards Dr
Ste 530
North Kansas City, MO 64116
Phone (816) 452-3300

Organizations & group practices 4

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1073962668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 530",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163266",
            "telephone_number": "816-452-3300",
            "fax_number": "816-453-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 CLAY EDWARDS DR STE 312",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163256",
            "telephone_number": "816-691-1185",
            "fax_number": "816-346-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKER",
        "first_name": "STEPHANIE",
        "middle_name": "LISETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2021024903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.