Individual provider Active NPI

Stephanie Lauren Schatz, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Sullivan, MO
National Provider Identifier
1255748349
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014023966 Issued in MO
Practice address
102 Grande Ctr
Sullivan, MO 63080-1266
Phone
(573) 468-4455
Fax
(573) 468-4451
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014023966 MO Primary

Addresses

Primary practice location

102 Grande Ctr
Sullivan, MO 63080-1266

Mailing address

160 Killdeer Lane
Sullivan, MO 63080
Phone (573) 259-3598

Other identifiers 2

IdentifierTypeStateIssuer
2010034841OtherMOMISSOURI RN LICENSE
2014023966OtherMOMISSOURI CNP LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141001001904 MO Practitioner - Nurse Practitioner 4385864024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

851 E 5TH St
Suite 328
Washington, MO 63090-3130
Phone (636) 239-1101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family CurrentSince Aug 23, 2014 Accepting new patients
Mercy Clinic East Communities CurrentSince Aug 23, 2014 Accepting new patients

Locations

125 N Old Highway 66
Bourbon, MO 65441
Phone (573) 679-2006

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

1326 S Service Rd W
Ste 10
Sullivan, MO 63080
Phone (573) 468-4455

102 Grande Ctr
Sullivan, MO 63080
Phone (573) 468-4455

101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Interoperability endpoints

  • Direct secure messaging: sstumpe113609@directc.mercy.net

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1255748349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KILLDEER LANE",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "63080",
            "telephone_number": "573-259-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GRANDE CTR",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801266",
            "telephone_number": "573-468-4455",
            "fax_number": "573-468-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHATZ",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014023966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI RN LICENSE",
            "identifier": "2010034841",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI CNP LICENSE",
            "identifier": "2014023966",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, MO

Sources for this page

Verify at the official NPI Registry.