Stacy Renee Green, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021029668 Issued in MO

Practice address

1029 Nichols Rd Ste 401
Osage Beach, MO 65065-3008

Phone

(573) 302-3111

Fax

(573) 302-2869

NPI assigned

Dec 10, 2021

Last updated

Jul 30, 2026By 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 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergent Care Plus of Overland Park LLCGroup PAC ID 8123153939, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Emergent Care Plus of Overland Park, LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Leavenworth, KS
  • NPI 1811224371
  Medicare reassignment Care Compare group NPD
• Emergent Care Plus, LLC

  dba NextCare Urgent Care

  • Urgent Care Clinic/Center
  • Lee's Summit, MO
  • NPI 1396923181
  Medicare reassignment NPD
• Urgent Care of Kansas

  • Urgent Care Clinic/Center
  • Gardner, KS
  • NPI 1710442975

  MO

  Medicare reassignment NPD
• Lake Regional Health System

  dba Lake Regional Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Lebanon, MO
  • NPI 1578125324
  NPD (past)
• Lake Regional Health System

  • Internal Medicine Physician
  • Osage Beach, MO
  • NPI 1962828616

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1437818135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 NICHOLS RD STE 401",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653008",
            "telephone_number": "573-302-3111",
            "fax_number": "573-302-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NICHOLS RD STE 401",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653008",
            "telephone_number": "573-302-3111",
            "fax_number": "573-302-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "STACY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5380729022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021029668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Christine Gagnon, O.D.
• Cynthia Jane Gates
• Sara Leann Gilliam, COTA/L
• Goforth Health Center, LLC
• Tara Grantham, OTR
• Anna Grimshaw, MOT
• Whitney Marie Grote, COTA
• Kimber Guinn, DO
• Yvonne Gulino, FNP, CNM
• Denise Mae Hagemann, OTR/L

• Family Nurse Practitioner in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.