Stacey Dines
Individual provider Active NPI Family Nurse Practitioner · Eudora, KS
NPI 1609041748 · NPPES record last updated Oct 27, 2023
Key facts
- NPI
- 1609041748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 45377 (KS)
- Practice address
- 600 E 20TH St Ste 200
Eudora, KS 66025-7801 - Phone
- (785) 505-2345
- Fax
- (785) 505-5271
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lawrence Physicians LLC
Practice addresses (Care Compare)
600 E 20TH St
Suite 200
Eudora, KS 66025-7801
Phone (785) 505-2345
Hospital & facility affiliations
- LMH
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 79.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.08
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 |
|---|---|---|---|---|
| I20141217000887 | KS | Practitioner - Nurse Practitioner | 0749503027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45377 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Physicians LLC | Current |
Accepting new patients | |
| Lawrence Physicians LLC | Current | Accepting new patients | |
| Lawrence Physicians LLC | Current |
Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients | |
| The Internal Medicine Group PA | Past | Accepting new patients | |
| Womens Care | Past | Accepting new patients | |
| Lawrence Physicians LLC | Past | Accepting new patients |
Locations
600 E 20th St
Ste 200
Eudora, KS 66025
Phone (785) 505-2345
1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636
325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988
3211 S Iowa St
Ste 100
Lawrence, KS 66046
Phone (785) 505-5475
410 Woodfield Dr
Tonganoxie, KS 66086
Phone (785) 505-5400
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- stacey.dines@direct.lmh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 45377 | KS | Yes |
Addresses
Primary practice location
600 E 20TH St Ste 200
Eudora, KS 66025-7801
Mailing address
325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stacey.dines@direct.lmh.org | Direct |
Other providers in Eudora, KS
- Aubrey Lynn Brooks
- Melissa Cline
- Jodette Ellen Cox
- Linda S Crabb
- James Dick
- Barbara T Durkin
- Eudora Development Co., Inc.
- Eudora Eye Care, P.a.
- Eudora Nursing Center
- Eudora Usd491
All providers in Eudora, 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 Oct 27, 2023. 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.