Individual provider Active NPI

Nancy P Stauffer, NP

  • Family Nurse Practitioner
  • Chillicothe, MO
National Provider Identifier
1295498699
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021041121 Issued in MO
Practice address
3151 Litton Rd
Chillicothe, MO 64601-8502
Phone
(660) 646-4032
Fax
(660) 646-1217
NPI assigned
Oct 21, 2021
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 2021041121 MO Primary

Addresses

Primary practice location

3151 Litton Rd
Chillicothe, MO 64601-8502

Mailing address

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Other practice location 1

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

Other practice location 2

1007 S Polk St
Maysville, MO 64469-4030
Phone (816) 449-2123

Other practice location 3

921 N Walnut St
Cameron, MO 64429-1341
Phone (816) 632-2111

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
I20211129002288 MO Practitioner - Nurse Practitioner 0042600488 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Regional Medical Center Inc Single Specialty CurrentSince Nov 29, 2021 Accepting new patients
Cameron Regional Medical Center, Inc. Single Specialty CurrentSince Nov 29, 2021 Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1007 S Polk St
Maysville, MO 64469
Phone (816) 445-2123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1295498699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E EVERGREEN ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644292400",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 LITTON RD",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646018502",
            "telephone_number": "660-646-4032",
            "fax_number": "660-646-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "MO",
            "postal_code": "644292400",
            "country_code": "US",
            "telephone_number": "816-632-2101",
            "fax_number": "816-649-3383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 S Polk St",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "MO",
            "postal_code": "644694030",
            "country_code": "US",
            "telephone_number": "816-449-2123",
            "fax_number": "816-449-2125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "Cameron",
            "state": "MO",
            "postal_code": "644291341",
            "country_code": "US",
            "telephone_number": "816-632-2111",
            "fax_number": "816-632-7929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "NANCY",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021041121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

Verify at the official NPI Registry.