Stacie Kubicsko, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015038463 Issued in MO

Practice address

2820 E Rock Haven Rd Ste 100
Harrisonville, MO 64701-4413

Phone

(816) 380-3582

Fax

(816) 380-6964

NPI assigned

Dec 29, 2015

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

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harrisonville Family Medicine, Inc.Group PAC ID 2264489384, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
• Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacie.kubicsko.1@14773.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14773/brand/1/csg/1/fhir/r4

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.

• Harrisonville Family Medicine, Inc.

  • Family Medicine Physician
  • Harrisonville, MO
  • NPI 1891715652
  Medicare reassignment Care Compare group NPD
• Carespot Professional Services LLC

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1568703783
  NPD

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

• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  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": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1104281633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN RD STE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014413",
            "telephone_number": "816-380-3582",
            "fax_number": "816-380-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E ROCK HAVEN RD STE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014413",
            "telephone_number": "816-380-3582",
            "fax_number": "816-380-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICSKO",
        "first_name": "STACIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015038463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Marie Kittilstad, PLPC
• Adrienne Louise Klein, PT, DPT
• Lisa Klockenga, PLPC
• Karlyn Kobilnyk, LPC, MA
• KSP Health - Mo LLC
• Barbara E Kuchta, LPC
• Jackie D Kumm, F.N.P.
• Melinda Michelle Lacy, RN, FNP-BC
• Dianna Larman, PTA
• Legacy Counseling LLC

• Family Nurse Practitioner in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.