Active NPI
Stephanie Marie Blackman, APRN
- Family Nurse Practitioner
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-76278
- Practice address
- 20375 W 151St St Ste 105
Olathe, KS 66061-5353 - Phone
- (913) 588-1227
- NPI assigned
- Feb 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2014004534 | MO | |
| Family Nurse Practitioner | 363LF0000X | 53-76278 | KS | Primary |
Addresses
Primary practice location
20375 W 151St St Ste 105
Olathe, KS 66061-5353
Mailing address
20375 W 151St St
Olathe, KS 66061-5306
Phone (913) 445-8100
Other practice location 1
8101 W 135th St
Suite 200
Overland Park, KS 66223-1111
Phone (913) 491-3999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679998181 | Medicaid | MO | |
| 201098930A | Medicaid | KS |
Other names 1
- Stephanie Marie Maimer
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140818000647 | KS | Practitioner - Nurse Practitioner | 4284865460 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368
2000 Health Park Dr
Brentwood, TN 37027-4692
Hospital & facility affiliations
- Overland Park Reg Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014004534 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Specialty Clinic, LLC | Current | Accepting new patients | |
| Overland Park Orthopedics, LLC | Current | Accepting new patients | |
| Research Neuroscience Institute, LLC | Current | Accepting new patients | |
| Pain at Fho LLC | Past | Accepting new patients | |
| Obstetrics and Pediatrics Subspecialty Group of Kansas and Missouri PA | Past | Accepting new patients |
Locations
1803 W 6th St
Lawrence, KS 66044
Phone (785) 841-7297
10550 Quivira Rd
Ste 400
Overland Park, KS 66215
Phone (816) 350-4215
10500 Quivira Rd
Ste 520
Overland Park, KS 66215
Phone (913) 310-0482
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
10550 Quivira Rd
Ste 110
Overland Park, KS 66215
Phone (913) 541-6088
10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Kansas City, MO
- NPI 1275830077
KS
-
- Endocrinology, Diabetes & Metabolism Physician
- Overland Park, KS
- NPI 1407040967
KS
-
- Orthopaedic Surgery Physician
- El Dorado, KS
- NPI 1225673874
-
- Maternal & Fetal Medicine Physician
- Phoenix, AZ
- NPI 1225051618
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": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1679998181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20375 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-445-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20375 W 151ST ST STE 105",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615353",
"telephone_number": "913-588-1227"
}
],
"practiceLocations": [
{
"address_1": "8101 W 135th St",
"address_2": "SUITE 200",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662231111",
"country_code": "US",
"telephone_number": "913-491-3999",
"fax_number": "913-491-9309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKMAN",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014004534",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-76278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679998181",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201098930A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "MAIMER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.