Stacy Renee Scott, APRN
Individual provider Active NPI Family Nurse Practitioner · Horton, KS
NPI 1467979229 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1467979229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 77803 (KS)
- Practice address
- 1903 Euclid Ave
Horton, KS 66439-1238 - Phone
- (785) 486-2468
- Fax
- (785) 486-2371
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amberwell Atchison Association
Practice addresses (Care Compare)
1004 Progress Dr
Lansing, KS 66043-6345
Phone (913) 297-3215
1903 Euclid Ave
Horton, KS 66439-1238
Phone (785) 486-2468
311 W Locust St
Troy, KS 66087-5252
Phone (913) 367-7300
Hospital & facility affiliations
- Amberwell Atchison Association
- Hiawatha Community Hospital
- University of Kansas Health System - St Francis Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 81.83
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.61
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200518000619 | KS | Practitioner - Nurse Practitioner | 0446517544 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77803 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amberwell Atchison Association | Nurse Practitioner | Current |
Accepting new patients |
| Amberwell Atchison Association | Current |
Accepting new patients | |
| Amberwell Atchison Association | Current |
Accepting new patients | |
| Amberwell Atchison Association | Past | Accepting new patients | |
| Amberwell Atchison Association | Past | Accepting new patients | |
| Amberwell Atchison Association | Past | Accepting new patients | |
| Amberwell Atchison Association | Past |
Accepting new patients |
Locations
801 Atchison St
Atchison, KS 66002
Phone (913) 367-5020
810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300
800 Ravenhill Dr
Ste 100
Atchison, KS 66002
Phone (913) 360-5398
800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131
1903 Euclid Ave
Horton, KS 66439
Phone (785) 486-2468
311 W Locust St
Troy, KS 66087
Phone (785) 985-3504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 77803 | KS | Yes |
Addresses
Primary practice location
1903 Euclid Ave
Horton, KS 66439-1238
Mailing address
800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131
Other practice location 1
800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131
Other practice location 2
311 Morrow St N
Mena, AR 71953-2516
Phone (479) 394-6100
Other practice location 3
800 Ravenhill Dr Ste 100
Atchison, KS 66002-9204
Phone (913) 367-7300
Other practice location 4
801 Atchison St
Atchison, KS 66002-2352
Phone (913) 367-5020
Other practice location 5
1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215
Other practice location 6
311 W Locust St
Troy, KS 66087-5252
Phone (785) 985-3504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016289082 | Other | KS | PTAN |
| 420085139 | Medicaid | MO | |
| 30004697180001 | Medicaid | KS |
Other names
- Stacy Renee Grimm
Other providers in Horton, KS
- Northeast Kansas Center for Health and Wellness, Inc.
- Northeast Kansas Center for Health and Wellness, Inc.
- Northeast Kansas Center for Health and Wellness, Inc.
- Angelica Pearce
- Amanda Pottroff
- South Brown County Usd 430
- Leslie Jolene Walters
All providers in Horton, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.