Individual provider Active NPI

Stefanie Ann Neill, NP

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1144593450
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012004404 Issued in MO
Practice address
203 NW Rd Mize Rd Ste 200
Blue Springs, MO 64014
Phone
(816) 220-1117
Fax
(816) 228-2053
NPI assigned
Feb 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2012004404 MO
Family Nurse Practitioner 363LF0000X 2012004404 MO Primary

Addresses

Primary practice location

203 NW Rd Mize Rd Ste 200
Blue Springs, MO 64014

Mailing address

203 NW Rd Mize Rd Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

Other practice location 1

3200 NE Ralph Powell Rd
Lees Summit, MO 64064-2301
Phone (816) 525-1600

Other names 1

  • Stefanie Ann Schwentker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20121015000297 MO Practitioner - Nurse Practitioner 5991955692 Reassigns benefits to 2 organizations
I20241023002967 KS Practitioner - Nurse Practitioner 5991955692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Kidney Care LLCGroup PAC ID 5597170969, 17 clinicians

Practice addresses (Care Compare)

1295 E 151St St
Suite 7
Olathe, KS 66062-3429
Phone (720) 696-0852

4320 Wornall Rd
Kansas City, MO 64111-5941
Phone (720) 696-0852

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince Apr 28, 2015 Accepting new patients
Rocky Mountain Kidney Care LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

9777 S Yosemite St
Ste 110
Lone Tree, CO 80124
Phone (720) 560-3083

1295 E 151st St
Ste 7
Olathe, KS 66062
Phone (913) 381-0622

203 W Road Mize Rd
Ste 200
Blue Springs, MO 64014
Phone (816) 220-1117

206 NW Mock Ave
Ste 200
Blue Springs, MO 64014
Phone (816) 224-8999

1000 Carondelet Dr
Ofc
Kansas City, MO 64114
Phone (816) 943-7604

4320 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-6100

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

930 Carondelet Dr
Ste 304
Kansas City, MO 64114
Phone (816) 523-4525

100 NE Missouri Rd
Ste 204
Lees Summit, MO 64086

3200 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 525-1600

Interoperability endpoints

  • Direct secure messaging: stefanie.neill.1@19427.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1144593450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NW RD MIZE RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-220-1117",
            "fax_number": "816-228-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NW RD MIZE RD STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-220-1117",
            "fax_number": "816-228-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 NE Ralph Powell Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642301",
            "country_code": "US",
            "telephone_number": "816-525-1600",
            "fax_number": "816-525-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEILL",
        "first_name": "STEFANIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2012004404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012004404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "SCHWENTKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.