Mr Ilya O Stagner, FNP-C - Medicare Nurse Practitioner in Maryville, MO

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Mr Ilya O Stagner, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Missouri. His current practice location is 114 E South Hills Dr, Maryville, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 562-4304.

Mr Ilya O Stagner is licensed to practice in Missouri (license number 2024009165) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083376750.

Contact Information

Mr Ilya O Stagner, FNP-C
114 E South Hills Dr,
Maryville, MO 64468-2659
(660) 562-4304
(660) 562-4308

Map and Direction




Provider's Profile

Full NameMr Ilya O Stagner
GenderMale
SpecialityNurse Practitioner - Family
Location114 E South Hills Dr, Maryville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083376750
  • Provider Enumeration Date: 10/11/2021
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082097928
  • Enrollment ID: I20220810001989

Medical Identifiers

Medical identifiers for Mr Ilya O Stagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083376750NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 80603 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 2024009165 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ilya O Stagner allows following entities to bill medicare on his behalf.
Entity NameHiawatha Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952485161
PECOS PAC ID: 9032007364
Enrollment ID: O20040309000220
Entity NameInforme Healthcare Il Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639790678
PECOS PAC ID: 8123448784
Enrollment ID: O20240111000572

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ilya O Stagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ilya O Stagner, FNP-C
114 E South Hills Dr,
Maryville, MO 64468-2659

Ph: (660) 562-4304		Mr Ilya O Stagner, FNP-C
114 E South Hills Dr,
Maryville, MO 64468-2659

Ph: (660) 562-4304

Reviews and Comments


Nurse Practitioner Nurses in Maryville, MO

Angela Nicole Williamson, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2600    
Martha R. Mustion, F.N.P.
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Medicare: Accepting Medicare Assignments
Practice Location: 114 E South Hills Dr, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-4303
Miranda Marie Floyd, RN
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Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-7996
Estella Myrick, FNP
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Practice Location: 2016 S Main St, Maryville, MO 64468
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Practice Location: 2617 Burris Rd, Maryville, MO 64468
Phone: 660-562-7546    Fax: 660-562-2266
Alison Sporleder, APRN
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Medicare: Accepting Medicare Assignments
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.