Stephanie Ann Lersch, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2016021995 Issued in MO

Practice address

8417 Clint Dr
Belton, MO 64012

Phone

(660) 493-3007

NPI assigned

Jun 27, 2016

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Ann Tucker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.lersch@217526021193732.direct.elationemr.com
• Direct secure messaging: stephanie.lersch@742515934101508.direct.elationemr.com

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.

• Dynamic Horizons LLC

  dba Vitality Direct Primary Care

  • Family Medicine Physician
  • Belton, MO
  • NPI 1215768197
  NPD Authorized official
• Golden Valley Memorial Hospital District

  dba GVMH Medical East

  • Clinic/Center
  • Clinton, MO
  • NPI 1396379830
  NPD
• Golden Valley Memorial Hospital District

  • General Acute Care Hospital
  • Clinton, MO
  • NPI 1710075361
  NPD
• Plume Health, PC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1528769015
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1982055372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125330",
            "telephone_number": "660-493-3007",
            "fax_number": "660-235-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "64012",
            "telephone_number": "660-493-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 W 9th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64105",
            "country_code": "US",
            "telephone_number": "415-671-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LERSCH",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016021995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TUCKER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron Samuel Law, O.D.
• Skyler Law, DPT
• Demetria A Lawson-Residor, LMSW, LCSW
• Anna Lee, DDS
• Bridget M Lee, ARNP
• Letis House Inc
• Bailey Lewis, DC
• Bradley Alex Lewis, DPT
• Lindsey Belt Emergency Physicians, LLC
• Liveasy Medical Equipment Inc.

• Family Medicine Physician in Belton, MO
• Providers in Belton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.