Individual provider Active NPI

Stacy Corum, WHNP-BC

  • Women's Health Nurse Practitioner
  • Merriam, KS
National Provider Identifier
1609275502
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
76436 Issued in KS
Practice address
8901 W 74TH St Ste 1
Merriam, KS 66204-2201
Phone
(913) 266-8927
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 76436 KS Primary

Addresses

Primary practice location

8901 W 74TH St Ste 1
Merriam, KS 66204-2201

Mailing address

11768 W 146TH St
Olathe, KS 66062-8412
Phone (913) 980-3351

Other names 1

  • Stacy Block Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170518001692 KS Practitioner - Nurse Practitioner 2769759984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physician Services LLCGroup PAC ID 1658500962, 39 clinicians

Practice addresses (Care Compare)

7440 W Frontage Rd
Merriam, KS 66203-4670
Phone (913) 236-6455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76436KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Physician Services CurrentSince Jun 1, 2017 Accepting new patients
Womens Care Past Accepting new patients
Johnson County OB-GYN Chartered PastSince Jun 1, 2017 Accepting new patients

Locations

8801 Monrovia St
Ste 200
Lenexa, KS 66215

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

7440 W Frontage Rd
Shawnee Msn, KS 66203
Phone (913) 236-6455

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1609275502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11768 W 146TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660628412",
            "telephone_number": "913-980-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST STE 1",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042201",
            "telephone_number": "913-266-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUM",
        "first_name": "STACY",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "76436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "BLOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.