Stacey Anderson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5380420052 Issued in KS

Practice address

1301 KS Highway 264
Larned, KS 67550-5353

Phone

(620) 285-2131

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura St. Catherine-Dodge City Hospital, Dodge City, KS, CCN 170175

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809

  KS

  Medicare reassignment
• Commonspirit Kansas, Inc.

  • Family Medicine Physician
  • Dodge City, KS
  • NPI 1205549821
  NPD
• St Catherine Hospital

  • Family Medicine Physician
  • Ulysses, KS
  • NPI 1528771029
  NPD
• St. Catherine Hospital

  dba St Catherine Physician Services

  • Internal Medicine Physician
  • Garden City, KS
  • NPI 1053533844
  NPD (past)

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

• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Dodge City

  • General Acute Care Hospital
  • Dodge City, KS
  • NPI 1689317190
  Care Compare affiliation

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1649907528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 N REED AVE APT 1628",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671013828",
            "telephone_number": "316-617-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KS HIGHWAY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-285-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5380420052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Healthy Choice Clinic
• Susan Aistrup, APRN
• Dusty Atterbury, PA
• Douglas Duane Ayre, O.D.
• Anita Ellen Barker, DNP, EBP-C
• Teresa Barton, M.S., CCC/SLP
• Angela Crystal Beck, NP-C

• Family Nurse Practitioner in Larned, KS
• Providers in Larned, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.