Individual provider Active NPI

Amanda Nicole Stanley, APRN

  • Gerontology Nurse Practitioner
  • Kansas City, KS
National Provider Identifier
1346946639
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
53-81948-031 Issued in KS
Practice address
7527 State Ave
Kansas City, KS 66112-2815
Phone
(913) 335-6986
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 53-81948-031 KS Primary

Addresses

Primary practice location

7527 State Ave
Kansas City, KS 66112-2815

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other names 1

  • Amanda Nicole Neal Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.stanley.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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

Enrollment IDStateProvider typePAC IDDetails
I20230403002513 KS Practitioner - Nurse Practitioner 7113392242 Reassigns benefits to 3 organizations
I20231128000128 MO Practitioner - Nurse Practitioner 7113392242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care KS PAGroup PAC ID 6002230349, 20 clinicians

Practice addresses (Care Compare)

7527 State Ave
Kansas City, KS 66112-2815
Phone (913) 335-6986

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-81948-031KSMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KC Geriatrics LLC CurrentSince Feb 12, 2023 Accepting new patients
Centerwell Senior Primary Care KS PA CurrentSince Oct 14, 2024 Accepting new patients
NTTR Medical LLC CurrentSince May 10, 2024 Accepting new patients
Agewell Geriatrics CurrentSince Jul 1, 2024 Accepting new patients
Centerwell Senior Primary Care KS PA Current Accepting new patients
Centerwell Senior Primary Care KS PA CurrentSince Oct 14, 2024 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

7527 State Ave
Kansas City, KS 66112
Phone (913) 335-6986

13600 W 110th Ter
Lenexa, KS 66215
Phone (913) 717-0071

16575 W 119th St
Olathe, KS 66061
Phone (913) 815-5008

10315 Johnson Dr
Shawnee, KS 66203
Phone (816) 226-1182

Interoperability endpoints

  • Direct secure messaging: amanda.stanley@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: amanda.stanley.1@29601.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1346946639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122815",
            "telephone_number": "913-335-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-81948-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.stanley.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7527 State Ave",
            "city": "Kansas City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "661122815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "NEAL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.