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

Mr Ilya O Stagner, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Missouri. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ssm Regional Health Services and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Mr Ilya O Stagner
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	114 E South Hills Dr, Maryville, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Ilya O Stagner graduated from nursing school in 2017

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: I20250311003330

Medical Identifiers

Medical identifiers for Mr Ilya O Stagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083376750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	80603 (Kansas)	Secondary
363LF0000X	Nurse Practitioner - Family	2024009165 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Regional Health Services	8921917352	133

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 Name	Mosaic Medical Center - Maryville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537

Entity Name	Urgent Care Of Kansas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710442975 PECOS PAC ID: 4789926080 Enrollment ID: O20220912002200

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 Address	Practice 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

Martha R. Mustion, F.N.P. Nurse Practitioner 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 Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-7996
Estella Myrick, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2600
Alison Sporleder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2525
Mrs. Kristine K Kramer, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 E South Hills Dr, Maryville, MO 64468 Phone: 660-562-2525 Fax: 660-562-4301
Danielle Shifflett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2016 S Main St, Maryville, MO 64468 Phone: 660-562-2500

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