Individual provider Active NPI

Stephanie Marie Blackman, APRN

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1679998181
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-76278 Issued in KS
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

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1679998181MedicaidMO
201098930AMedicaidKS

Other names 1

  • Stephanie Marie Maimer 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
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 Hospital, Overland Park, KS, CCN 170176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014004534MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialty Clinic, LLC CurrentSince Jan 27, 2020 Accepting new patients
Overland Park Orthopedics, LLC CurrentSince Feb 22, 2022 Accepting new patients
Research Neuroscience Institute, LLC CurrentSince Jul 22, 2023 Accepting new patients
Pain at Fho LLC PastSince Feb 13, 2022 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.

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

Verify at the official NPI Registry.