Active NPI
Lisa R Stuckey, PA-C
- Medical Physician Assistant
- Kinsley, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1501228
- Practice address
- 620 W 8TH St
Kinsley, KS 67547-2329 - Phone
- (620) 659-3621
- Fax
- (620) 659-3810
- NPI assigned
- Oct 5, 2007
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1501228 | KS | Primary |
Addresses
Primary practice location
620 W 8TH St
Kinsley, KS 67547-2329
Mailing address
PO Box 99
Kinsley, KS 67547-0099
Phone (620) 659-3651
Other practice location 1
205 Hall St
Spearville, KS 67876-8553
Phone (620) 385-2963
Other practice location 2
604 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-2732
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdowler@edcomed.com | Direct | |
| Direct Messaging Address | tstrate@edcomed.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 Hall St
Spearville, KS 67876-8553
Phone (620) 385-2963
604 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-2732
620 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-3621
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501228 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients | |
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients | |
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients |
Locations
604 W 8th St
Kinsley, KS 67547
Phone (620) 659-2732
Interoperability endpoints
- lisa.stuckey.p1@direct.edcomed.nextgenshare.com
- lisa.stuckey@khindirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Edwards County Hospital
- Critical Access Hospital
- Kinsley, KS
- NPI 1851403869
-
dba Edwards County Medical Center
- Rural Health Clinic/Center
- Kinsley, KS
- NPI 1649372012
-
dba Edwards County Medical Center
- Rural Health Clinic/Center
- Spearville, KS
- NPI 1790326189
-
- Rural Health Clinic/Center
- St John, KS
- NPI 1932834009
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Catherine Hospital - Dodge City
- General Acute Care Hospital
- Dodge City, KS
- NPI 1689317190
-
dba Edwards County Hospital
- Critical Access Hospital
- Kinsley, KS
- NPI 1851403869
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Home Health Agency
- Dodge City, KS
- NPI 1508829821
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
-
dba The University of Kansas Health System Great Bend Campus
- General Acute Care Hospital
- Great Bend, KS
- NPI 1548750417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1255529012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "KINSLEY",
"state": "KS",
"postal_code": "675470099",
"telephone_number": "620-659-3651",
"fax_number": "620-659-3869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 W 8TH ST",
"city": "KINSLEY",
"state": "KS",
"postal_code": "675472329",
"telephone_number": "620-659-3621",
"fax_number": "620-659-3810"
}
],
"practiceLocations": [
{
"address_1": "205 Hall St",
"address_purpose": "LOCATION",
"city": "Spearville",
"state": "KS",
"postal_code": "678768553",
"country_code": "US",
"telephone_number": "620-385-2963",
"fax_number": "620-385-2811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "604 W 8th St",
"address_purpose": "LOCATION",
"city": "Kinsley",
"state": "KS",
"postal_code": "675472329",
"country_code": "US",
"telephone_number": "620-659-2732",
"fax_number": "620-659-3850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUCKEY",
"first_name": "LISA",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "1501228",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdowler@edcomed.com",
"affiliation": "N",
"endpointDescription": "RHC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "620 W 8th St",
"city": "Kinsley",
"state": "KS",
"country_code": "US",
"postal_code": "675472329",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tstrate@edcomed.com",
"affiliation": "N",
"endpointDescription": "RHC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "620 W 8th St",
"city": "Kinsley",
"state": "KS",
"country_code": "US",
"postal_code": "675472329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kinsley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
- 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.