Stefanie Anne Shustek, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2012026132 Issued in MO

Practice address

2316 E Meyer Blvd
Kansas City, MO 64132-1136

Phone

(816) 276-2000

NPI assigned

Jul 8, 2009

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Hospitalist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harbor Hospice of Missouri, LP Hospice, Independence, MO, CCN 261674
• Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097
• Lee's Summit Medical Center Hospital, Lees Summit, MO, CCN 260190

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of Mo, LLC

  • Emergency Medicine Physician
  • Independence, MO
  • NPI 1023715182
  Medicare reassignment NPD
• Western Missouri Medical Center

  dba Western Missouri Dermatology

  • Dermatology Physician
  • Warrensburg, MO
  • NPI 1144103029
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harbor Hospice of Missouri LP

  • Community Based Hospice Care Agency
  • Independence, MO
  • NPI 1821471400
  Care Compare affiliation
• Midwest Division - LSH, LLC

  dba Lee's Summit Medical Center

  • General Acute Care Hospital
  • Lee's Summit, MO
  • NPI 1225085871
  Care Compare affiliation
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Care Compare affiliation

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1417186743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 MARTY ST",
            "address_2": "STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122551",
            "telephone_number": "913-660-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E MEYER BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321136",
            "telephone_number": "816-276-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTEK",
        "first_name": "STEFANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012026132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Elizabeth Shupe, CPNP
• Ina Shupe, RN CS CAP UHCNS
• Mindi M Shupe
• Raina Jean Shupe
• David H. Shuss, M.D.
• Kerry Shutt, FNP
• Bijan Siadati, D.C
• Jasmine Sickel
• Asad Hafeez Siddiqui
• Kathleen Lee Sidebottom

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.

Verify at the official NPI Registry.