Individual provider Active NPI

Stephanie Warren Mayer, NP

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1518434299
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018001599 Issued in MO
Practice address
14310 E 42ND St S
Independence, MO 64055-7308
Phone
(816) 333-9200
Fax
(816) 489-7499
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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 2018001599 MO Primary

Addresses

Primary practice location

14310 E 42ND St S
Independence, MO 64055-7308

Mailing address

14310 E 42ND St S Ste 600
Independence, MO 64055-7308
Phone (816) 333-9200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181215000548 MO Practitioner - Nurse Practitioner 2365787546 Reassigns benefits to 3 organizations
I20241119002518 KS Practitioner - Nurse Practitioner 2365787546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Kansas City PA CurrentSince Oct 14, 2020 Accepting new patients
Midwest Division - LRHC LLC CurrentSince Feb 1, 2025 Accepting new patients
Spine Pain and Rehab Associates LLC CurrentSince Jun 4, 2025 Accepting new patients
Crossroads Hospice of Kansas City LC PastSince Nov 6, 2022 Accepting new patients

Locations

10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000

8717 W 110th St
Ste 600
Overland Park, KS 66210
Phone (913) 428-2910

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

801 NW Saint Mary Dr
Ste 210
Blue Springs, MO 64014
Phone (816) 200-1533

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1500 State St
Lexington, MO 64067
Phone (660) 259-2203

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.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1518434299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 E 42ND ST S STE 600",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557308",
            "telephone_number": "816-333-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 E 42ND ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557308",
            "telephone_number": "816-333-9200",
            "fax_number": "816-489-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "STEPHANIE",
        "middle_name": "WARREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018001599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.