Individual provider Active NPI

Stephanie Danielle Black, DNP, FNP-BC

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1386169126
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-82462092 Issued in KS
Practice address
7230 Renner Rd
Shawnee, KS 66217-9901
Phone
(913) 962-2122
NPI assigned
Aug 12, 2017
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017021474 MO
Family Nurse Practitioner 363LF0000X 53-82462092 KS Primary

Addresses

Primary practice location

7230 Renner Rd
Shawnee, KS 66217-9901

Mailing address

7230 Renner Rd
Shawnee, KS 66217-9901
Phone (913) 962-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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

Enrollment IDStateProvider typePAC IDDetails
I20171220000634 VA Practitioner - Nurse Practitioner 6406114446 Reassigns benefits to 2 organizations
I20241025000223 KS Practitioner - Nurse Practitioner 6406114446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Columbia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7230 Renner Rd
Shawnee, KS 66217-9901
Phone (913) 962-2122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
57.94
Promoting interoperability
99
Improvement activities
40
Cost
73.17

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-82462092KSMDFamily Nurse Practitioner
2017021474MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Jan 15, 2018 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jul 14, 2024 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC CurrentSince Jul 14, 2024 Accepting new patients
Riverside Physician Services, Inc. CurrentSince Jan 15, 2018 Accepting new patients
MCV Associated Physicians CurrentSince Jul 1, 2021 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Jul 14, 2024 Accepting new patients
Vcu Oral-Facial Surgery and Services LLC PastSince Jul 1, 2021 Accepting new patients
Virginia Commonwealth University Health System Authority PastSince Jul 1, 2021 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

7230 Renner Rd
Shawnee, KS 66217
Phone (913) 962-2122

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 560-8919

659 Hospital Rd
Ste A203
Tappahannock, VA 22560
Phone (804) 443-6232

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1386169126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179901",
            "telephone_number": "913-962-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 RENNER RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179901",
            "telephone_number": "913-962-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017021474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82462092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.