Stephanie Marie Rapp – Gerontology Nurse Practitioner

Key facts

NPI: 1154894475
Entity type: Individual (NPI type 1)
Primary specialty: Gerontology Nurse Practitioner 363LG0600X
License: 2018045158 (KS)
Practice address: 444 Four States Dr Ste 1
Galena, KS 66739-4325
Phone: (877) 783-4441
NPI assigned: Jan 9, 2019
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Mercy Clinic Springfield Communities Family Medicine Physician · Springfield, MO · NPI 1245277631

Medicare reassignment NPD MO
Mercy Clinic Springfield Communities Rural Health Clinic/Center · Willow Springs, MO · NPI 1972771657

Medicare reassignment NPD MO
Mercy Clinic Joplin LLC Family Medicine Physician · Joplin, MO · NPI 1215264817

Medicare reassignment MO
Mercy Clinic Springfield Communities Rural Health Clinic/Center · Mountain View, MO · NPI 1003946732

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MO
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190130002890	MO	Practitioner - Nurse Practitioner	5092052977	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
2018045158	KS	MD	Gerontology Nurse Practitioner

Practice roles

Organization	Status	New patients
Mercy Clinic Springfield Communities	Current since Feb 10, 2019	Accepting new patients
Mercy Clinic Springfield Communities	Current since Feb 10, 2019	Accepting new patients
Mercy Clinic Springfield Communities	Current since Feb 10, 2019	Accepting new patients

Locations

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1605 Martin Springs Dr
Ste 310
Rolla, MO 65401
Phone (417) 820-2064

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Interoperability endpoints

Direct secure messaging: ms_srapp7@landmarkhealth-direct.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Gerontology Nurse Practitioner	363LG0600X	2018045158	MO
Gerontology Nurse Practitioner	363LG0600X	2018045158	KS	Yes

Addresses

Primary practice location

444 Four States Dr Ste 1
Galena, KS 66739-4325

Mailing address

444 Four States Dr Ste 1
Galena, KS 66739-4325
Phone (877) 783-4441

Other providers in Galena, KS

Andrew John Nelson III, MD
John T Ogden, MD
Orthopaedic Specialists of the Four States LLC
Jickie Parker, ARNP
Jerry Pettus
Allison Reid
Seth Elver Sewell, NP-C
Megan Kathleen Sherrell, PHARMD
Al Siguenza, PT
Carey Suzanne Smith, NP-C

All providers in Galena, KS · Gerontology Nurse Practitioner in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.