Individual provider Active NPI

Melissa L Stannard, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Prairie Village, KS
National Provider Identifier
1801630900
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-83395-061 Issued in KS
Practice address
5300 W 94TH Ter
Prairie Village, KS 66207-2504
Phone
(913) 381-8555
Fax
(913) 677-2112
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2024024280 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024024280 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-83395-061 KS Primary

Addresses

Primary practice location

5300 W 94TH Ter
Prairie Village, KS 66207-2504

Mailing address

1312 NE Horizon Dr
Lees Summit, MO 64086-6828
Phone (912) 675-5362

Other practice location 1

1312 NE Horizon Dr
Lees Summit, MO 64086-6828
Phone (912) 675-5362

Other names 1

  • Melissa L Cadwalader Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240725004630 KS Practitioner - Nurse Practitioner 2668918640 Reassigns benefits to 2 organizations
I20240726001219 MO Practitioner - Nurse Practitioner 2668918640 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RediscoverGroup PAC ID 3375453517, 50 clinicians

Practice addresses (Care Compare)

3211 Woodland Ave
Kansas City, MO 64109-2073
Phone (816) 931-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024024280MOMDNurse Practitioner
53-83395-061KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Aug 1, 2024 Accepting new patients
Rediscover CurrentSince Aug 1, 2024 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc Nurse Practitioner CurrentSince Jul 22, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 22, 2024 Accepting new patients
Kansas Post Acute Medical Services 1 PA CurrentSince Jul 22, 2024 Accepting new patients

Locations

17500 W 119th St
Olathe, KS 66061
Phone (913) 213-1686

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

3211 Woodland Ave
Kansas City, MO 64109
Phone (816) 931-6500

3660 Summit St
Kansas City, MO 64111
Phone (816) 531-1089

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1221 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-4695

1600 E Rollins St
Moberly, MO 65270
Phone (660) 263-6887

Organizations & group practices 5

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1801630900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NE HORIZON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866828",
            "telephone_number": "912-675-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W 94TH TER",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072504",
            "telephone_number": "913-381-8555",
            "fax_number": "913-677-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 NE Horizon Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866828",
            "country_code": "US",
            "telephone_number": "912-675-5362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANNARD",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024024280",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024024280",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-83395-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CADWALADER",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.