Individual provider Active NPI

Amanda Stice, APRN

  • Family Nurse Practitioner
  • Fort Scott, KS
National Provider Identifier
1346631462
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76694 Issued in KS
Practice address
2322 S Main St
Fort Scott, KS 66701-3026
Phone
(888) 777-9170
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 76694 KS Primary

Addresses

Primary practice location

2322 S Main St
Fort Scott, KS 66701-3026

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-9873

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150416002113 KS Practitioner - Nurse Practitioner 3072831353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jun 10, 2023 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Dec 31, 2018 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Dec 31, 2018 Accepting new patients
Community Health Center of Southeast Kansas, Inc Past Accepting new patients

Locations

2322 S Main St
Fort Scott, KS 66701
Phone (620) 223-0135

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: amanda.stice@chcsek.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1346631462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-231-9873",
            "fax_number": "620-240-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667013026",
            "telephone_number": "888-777-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICE",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.