| Mrs Stephanie Marie Blackman, APRN | |
|
20375 W 151st St Ste 105, Olathe, KS 66061-5353 | |
| (913) 588-1227 | |
| Not Available |
| Full Name | Mrs Stephanie Marie Blackman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 20375 W 151st St Ste 105, Olathe, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679998181 | NPI | - | NPPES |
| 1679998181 | Medicaid | MO | |
| 201098930A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2014004534 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-76278 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overland Park Reg Med Ctr | Overland park, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overland Park Orthopedics Llc | 9032272026 | 11 |
| Entity Name | Overland Park Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407040967 PECOS PAC ID: 6002903390 Enrollment ID: O20071102000470 |
| Entity Name | Overland Park Orthopedics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023274404 PECOS PAC ID: 9032272026 Enrollment ID: O20090119000005 |
| Entity Name | Pediatric Specialty Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699922203 PECOS PAC ID: 3476742966 Enrollment ID: O20110114000262 |
| Entity Name | Research Neuroscience Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275830077 PECOS PAC ID: 7113103433 Enrollment ID: O20130930000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stephanie Marie Blackman, APRN 20375 W 151st St, Olathe, KS 66061-5306 Ph: (913) 445-8100 | Mrs Stephanie Marie Blackman, APRN 20375 W 151st St Ste 105, Olathe, KS 66061-5353 Ph: (913) 588-1227 |
Megan Marie Nickell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1125 W Spruce St, Olathe, KS 66061 Phone: 913-826-4200 | |
Linda Lea Beezley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20375 W 151st St, 301, Olathe, KS 66061 Phone: 913-390-8050 Fax: 913-390-8049 | |
Kim E Bragdon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11875 S Sunset Dr, Olathe, KS 66061 Phone: 913-477-8351 Fax: 913-826-1300 | |
Shannon Nanelle Sandefur, FNP-BC APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Frontier Ln, Olathe, KS 66061 Phone: 877-397-7800 | |
Maren E Ozier, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16538 W 159th Ter, Olathe, KS 66062 Phone: 913-588-1227 | |
Kendra Alison Peck, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20333 W 151st St, Olathe, KS 66061 Phone: 913-588-1227 | |
Anaya Tina Kole, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25055 W Valley Pkwy Ste 102, Olathe, KS 66061 Phone: 913-494-8550 |