Individual provider Active NPI

Courtney L Stene, PA-C

  • Medical Physician Assistant
  • Overland Park, KS
National Provider Identifier
1831648112
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-01958 Issued in KS
Practice address
11520 W 119TH St
Overland Park, KS 66213-2002
Phone
(913) 232-9372
Fax
(913) 344-3665
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 15-01958 KS Primary

Addresses

Primary practice location

11520 W 119TH St
Overland Park, KS 66213-2002

Mailing address

11520 W 119TH St
Overland Park, KS 66213-2002
Phone (913) 232-9372

Other names 1

  • Courtney L Snyder 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
I20170706001962 KS Practitioner - Physician Assistant 5193094142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Hair CenterGroup PAC ID 4183165061, 3 clinicians

Practice addresses (Care Compare)

11520 W 119TH St
Overland Park, KS 66213-2002
Phone (913) 232-9372

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Hair Center CurrentSince Nov 1, 2025 Accepting new patients
Kansas Medical Clinic, PA PastSince Sep 11, 2022 Accepting new patients

Locations

11520 W 119th St
Overland Park, KS 66213
Phone (913) 232-9372

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA
  • Direct secure messaging: courtney.snyder@kmcpa.eclinicaldirectplus.com
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00345

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1831648112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-232-9372",
            "fax_number": "913-344-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132002",
            "telephone_number": "913-232-9372",
            "fax_number": "913-344-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENE",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SNYDER",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.