Individual provider Active NPI

Kevin Michael Stokes, PA-C

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1841791027
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2018006170 Issued in MO
Practice address
3801 S National Ave Ste 700
Springfield, MO 65807-5210
Phone
(417) 885-3888
Fax
(417) 881-7268
NPI assigned
Feb 23, 2018
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2018006170 MO Primary

Addresses

Primary practice location

3801 S National Ave Ste 700
Springfield, MO 65807-5210

Mailing address

PO Box 4024
Springfield, MO 65808-4024
Phone (417) 882-1207

Other practice location 1

1540 E Evergreen St
Springfield, MO 65803-4300
Phone (417) 823-2900

Other practice location 2

1002 McIntosh Cir Ste 6
Joplin, MO 64804-3600
Phone (417) 781-0250

Other practice location 3

1002 McIntosh Cir Ste 6
Joplin, MO 64804-3600
Phone (417) 781-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180329000324 MO Practitioner - Physician Assistant 6406118520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018006170MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Neurological Institute, L.L.C. Multi-Specialty CurrentSince Feb 6, 2023 Accepting new patients

Locations

1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 882-1207

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1841791027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4024",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084024",
            "telephone_number": "417-882-1207",
            "fax_number": "417-881-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 E Evergreen St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034300",
            "country_code": "US",
            "telephone_number": "417-823-2900",
            "fax_number": "417-886-2774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 McIntosh Cir Ste 6",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043600",
            "country_code": "US",
            "telephone_number": "417-781-0250",
            "fax_number": "417-781-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 McIntosh Cir Ste 6",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043600",
            "country_code": "US",
            "telephone_number": "417-781-0250",
            "fax_number": "417-781-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKES",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018006170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.