Individual provider Active NPI

Stacey Lynn Wood, APRN, MSN, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1396320958
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-79878-011 Issued in KS
Practice address
345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone
(316) 616-1055
NPI assigned
Mar 16, 2021
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 53-79878-011 KS Primary

Addresses

Primary practice location

345 N Riverview St Ste 500
Wichita, KS 67203-4265

Mailing address

345 N Riverview St Ste 500
Wichita, KS 67203-4265
Phone (316) 616-1055

Other identifiers 1

IdentifierTypeStateIssuer
53-79878-011OtherKSKS STATE BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swood@housecallsok.com Direct

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
I20211026001687 KS Practitioner - Nurse Practitioner 0042608929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-79878-011KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Inpatient Services of Kansas LLC CurrentSince Nov 3, 2023 Accepting new patients
House Call Medical Services CurrentSince Feb 15, 2025 Accepting new patients
Mobile Medical II, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

245 N Waco St
Ste 220
Wichita, KS 67202
Phone (316) 722-2138

345 N Riverview St
Ste 412
Wichita, KS 67203
Phone (316) 223-4466

345 N Riverview St
Ste 500
Wichita, KS 67203
Phone (316) 616-1055

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26892/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacey.wood.1@26892.direct.athenahealth.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, 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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1396320958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034265",
            "telephone_number": "316-616-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "credential": "APRN, MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79878-011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS STATE BOARD OF NURSING",
            "identifier": "53-79878-011",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swood@housecallsok.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "530 N Ridge Rd Ste B",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672126576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.