Individual provider Active NPI

Stephanie Sue Wilhoit, FNP

  • Family Nurse Practitioner
  • Smithville, MO
National Provider Identifier
1992146187
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013021877 Issued in MO
Practice address
1103 S US Highway 169 Ste G
Smithville, MO 64089-9330
Phone
(000) 000-0000
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 2013021877 MO
Family Nurse Practitioner 363LF0000X 76007 KS
Family Nurse Practitioner 363LF0000X 2013021877 MO Primary

Addresses

Primary practice location

1103 S US Highway 169 Ste G
Smithville, MO 64089-9330

Mailing address

17070 Smith Rd
Smithville, MO 64089-8673

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
I20141006001768 MO Practitioner - Nurse Practitioner 6901026434 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76007KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services Current Accepting new patients
Swope Health Services CurrentSince Feb 7, 2015 Accepting new patients
Swope Health Services CurrentSince Feb 7, 2015 Accepting new patients

Locations

11320 E Truman Rd
Independence, MO 64050
Phone (816) 599-5201

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500

Organizations & group practices 3

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1992146187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 SMITH RD",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640898673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S US HIGHWAY 169 STE G",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899330",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHOIT",
        "first_name": "STEPHANIE",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2013021877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76007",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013021877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, MO

Sources for this page

Verify at the official NPI Registry.