Active NPI
Stephanie Danielle Black, DNP, FNP-BC
- Family Nurse Practitioner
- Shawnee, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-82462092
- Practice address
- 7230 Renner Rd
Shawnee, KS 66217-9901 - Phone
- (913) 962-2122
- NPI assigned
- Aug 12, 2017
- Last updated
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Providence Medical Center
- Saint John Hospital
- Adventhealth Shawnee Mission
- Overland Park Reg Med Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.08 of 100
- Quality
- 57.94
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-82462092 | KS | MD | Family Nurse Practitioner |
| 2017021474 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Prime Healthcare Kansas City - Physician Services LLC | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Prime Healthcare Physician Services - Providence Inc | Current | Accepting new patients | |
| Vcu Oral-Facial Surgery and Services LLC | Past | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | 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.
-
dba Providence Medical Group
- General Practice Physician
- Shawnee, KS
- NPI 1356683213
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1427449487
KS
-
dba Riverside Gastroenterology Specialists
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- General Practice Physician
- Leavenworth, KS
- NPI 1972119741
-
dba Riverside Gastroenterology Specialists Williamsburg
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Richmond, VA
- NPI 1215502125
-
dba VCU Health System Pharmacy
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Overland Park Regional Medical Center
- General Acute Care Hospital
- Overland Park, KS
- NPI 1578500484
-
dba Saint John Hospital
- General Acute Care Hospital
- Leavenworth, KS
- NPI 1568705267
-
dba Providence Medical Center
- General Acute Care Hospital
- Kansas City, KS
- NPI 1528301900
-
dba AdventHealth Shawnee Mission
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.