Stacey V Eason, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-80908 Issued in KS

Practice address

10209 W Central Ave Ste 1
Wichita, KS 67212-4685

Phone

(316) 841-6861

Fax

(316) 854-9673

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Season Health LLCGroup PAC ID 7113366444, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

• Season Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
  • NPI 1235824525
  Medicare reassignment Care Compare group NPD Authorized official
• South Central Kansas Regional Medical Center

  dba South Central Kansas Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1679672323
  Medicare reassignment NPD
• Season Health LLC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1831907252

  Advanced Practice Midwife

  NPD Authorized official
• South Central Kansas Regional Medical Center

  dba SCKC Specialty Clinic

  • Orthopaedic Surgery Physician
  • Arkansas City, KS
  • NPI 1366130585
  NPD

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1306481189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10209 W CENTRAL AVE STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124685",
            "telephone_number": "316-841-6861",
            "fax_number": "316-854-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10209 W CENTRAL AVE STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124685",
            "telephone_number": "316-841-6861",
            "fax_number": "316-854-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "STACEY",
        "middle_name": "V",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-79073",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-80908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Lynne Earhart, PHARMD
• Frances Earls, DPT
• James L Early, MD
• Earnestine Lamonica Williams
• Carla Eash, LMSW
• East WFD GPS LLC (Wichita Family Dental East)
• Shawnie Genae East
• Michael R. Easter, PA-C
• Anthony Easterday
• Kim L Eastes, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.

Verify at the official NPI Registry.