Individual provider Active NPI

Stefanie L Bennett, APRN

  • Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1639450109
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75473 Issued in KS
Practice address
1823 College Ave
Manhattan, KS 66502-3381
Phone
(785) 776-2800
Fax
(785) 565-4754
NPI assigned
Aug 29, 2011
Last updated
Apr 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 75473 KS Primary

Addresses

Primary practice location

1823 College Ave
Manhattan, KS 66502-3381

Mailing address

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-2800

Other names 1

  • Stefanie L Samuels Other 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
I20111107000136 KS Practitioner - Nurse Practitioner 5698948784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Kansas PAGroup PAC ID 2062683808, 17 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Emergency Services of Kansas PA
Topeka, KS 66606-2489
Phone (785) 295-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75473KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Kansas, P.a. Nurse Practitioner CurrentSince May 13, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Kansas, LLC Nurse Practitioner CurrentSince Oct 10, 2020 Accepting new patients

Locations

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

1700 SW 7th St
#O
Topeka, KS 66606
Phone (785) 295-8000

Interoperability endpoints

  • Direct secure messaging: sbennett916761@ahs.direct-ci.com
  • Direct secure messaging: sgriffin11881@stormontvaildirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1639450109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 COLLEGE AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023381",
            "telephone_number": "785-776-2800",
            "fax_number": "785-565-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEFANIE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "75473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "SAMUELS",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.