Stephanie Moore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016035607 Issued in MO

Practice address

16659 E 23Rd St S
Independence, MO 64055-1922

Phone

(816) 207-4808

NPI assigned

Sep 29, 2016

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 MO, KS2 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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group of Missouri LLCGroup PAC ID 7315340213, 25 clinicians

Liberty Hospital Urgent Care, LLCGroup PAC ID 3375866163, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.moorefnpc.p11@direct.nlhc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberty Hospital Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Kansas City, MO
  • NPI 1558778373

  MO

  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of Missouri, LLC

  • Primary Care Clinic/Center
  • Saint Louis, MO
  • NPI 1669041760

  Family, MO

  Medicare reassignment Care Compare group NPD
• Oak Street Health Physicians Group of Kansas LLC

  • Primary Care Clinic/Center
  • Kansas City, KS
  • NPI 1336836949

  Family, KS

  Medicare reassignment NPD
• Meritas Health Corporation

  • Neurology Physician
  • North Kansas City, MO
  • NPI 1023439833
  NPD (past)
• Meritas Health Corporation

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1619606159
  NPD (past)
• New Liberty Hospital Corporation

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1023360690
  NPD (past)
• Saint Luke'S Neighborhood Clinics, LLC

  • Diagnostic Radiology Physician
  • Overland Park, KS
  • NPI 1346783008
  NPD (past)

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

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1487103545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551922",
            "telephone_number": "816-207-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 E 23RD ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551922",
            "telephone_number": "816-207-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-78187-011",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016035607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Montalbano, MD
• Monterey Park Nursing Center, Inc
• Jami Montesano, PHARM. D
• John Russell Moore, M.D.
• Lindsay O Moore, LMSW
• Morack Chiropractic Center, P.C.
• Michael Merlyn Morack, D.C.
• John M Morales, DDS
• Nancy C. Moran, MD
• Debra Moravac

• All providers in Independence, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.