Kathrine Jean Stipanovich, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016044712 Issued in MO

Practice address

104 NW State Route 7
Blue Springs, MO 64014-2726

Phone

(816) 229-8880

NPI assigned

Dec 21, 2016

Sex

Female

Sole proprietor

Yes

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blue Springs Family Care PCGroup PAC ID 8527039601, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Springs Family Care PC

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1811060767
  Medicare reassignment Care Compare group NPD

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

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• Prime Healthcare Services Blue Springs, LLC

  • General Acute Care Hospital
  • Blue Springs, MO
  • NPI 1912303579
  Care Compare affiliation

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1124563507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142726",
            "telephone_number": "816-229-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142726",
            "telephone_number": "816-229-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPANOVICH",
        "first_name": "KATHRINE",
        "middle_name": "JEAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016044712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciarra Stapleton, DDS
• Diane L Steffee, LMT, MMP
• Angela Michelle Sterling, DC
• Jazmine Stevenson, LPC, LCPC
• Kimberly Kaye Stevenson
• Gretchen Stokes, M.D.
• Hannah Michele Stone, PHARMD
• Brittney Stoneking
• Lori Ann Story, OTR
• Strength and Healing Counseling Services, LLC

• Family Nurse Practitioner in Blue Springs, MO
• Providers in Blue Springs, 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 Aug 11, 2021; 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.