Kristen Shavaughn Stampehl, NP-C | |
1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 | |
(573) 635-5264 | |
(573) 761-4351 |
Full Name | Kristen Shavaughn Stampehl |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1241 W. Stadium Blvd., Jefferson City, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134657117 | NPI | - | NPPES |
420078166 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209015980 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2019000617 (Missouri) | Primary |
Entity Name | Advanced Senior Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821305376 PECOS PAC ID: 6204010846 Enrollment ID: O20110406000560 |
Entity Name | Community Hospices Of America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023624558 PECOS PAC ID: 4385552660 Enrollment ID: O20150515002003 |
Mailing Address | Practice Location Address |
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Kristen Shavaughn Stampehl, NP-C 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 Ph: (573) 556-5771 | Kristen Shavaughn Stampehl, NP-C 1241 W. Stadium Blvd., Jefferson City, MO 65109-6023 Ph: (573) 635-5264 |
Jeremey James Laflamme, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 | |
Ashlee Kathleen Parkes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-634-4878 Fax: 573-634-4723 | |
Judith A. Wienke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 | |
Jill A. Kliethermes, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5747 Fax: 573-635-5264 | |
Sara J Marso, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109 Phone: 573-761-0304 Fax: 573-635-0726 | |
Taran Elyse Burgess Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 | |
Rachel Wieberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 |