Stephanie R Radke-Pence, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

81590 Issued in KS

Practice address

907 E Lincoln LN
Gardner, KS 66030-3701

Phone

(913) 856-1369

NPI assigned

Dec 2, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

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.

• Primary Care of Kansas Inc

  • Family Medicine Physician
  • Gardner, KS
  • NPI 1285380139
  Medicare reassignment NPD
• Urgent Care of Kansas

  • Urgent Care Clinic/Center
  • Gardner, KS
  • NPI 1710442975
  Medicare reassignment NPD
• First Point Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Gardner, KS
  • NPI 1598230674
  NPD

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1154031904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 LOCUST ST",
            "city": "EUDORA",
            "state": "KS",
            "postal_code": "660259552",
            "telephone_number": "785-550-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LINCOLN LN",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660303701",
            "telephone_number": "913-856-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE-PENCE",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "81590",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Health Facilities Xviii LP
• Pinnacle Health Facilities Xviii LP
• Pinnacle Health Facilities Xviii LP
• Primary Care of Kansas Inc
• Kristy Provence, APRN, BSN, WCC
• Melanie Lee Ransom Landau, PHARMD
• Recover-Care Meadowbrook Rehabilitation LLC
• Recover-Care Meadowbrook Rehabilitation LLC
• Recover-Care Meadowbrook Rehabilitation LLC
• Rentas Holistic Care LLC

• Family Nurse Practitioner in Gardner, KS
• Providers in Gardner, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.