Stacie Leah Pruett, FNP - Medicare Nurse Practitioner in Peculiar, MO

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Stacie Leah Pruett, FNP is a medicare enrolled "Nurse Practitioner - Family" in Peculiar, Missouri. Her current practice location is 24221 S Rockhaven Rd, Peculiar, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 308-5877.

Stacie Leah Pruett is licensed to practice in Missouri (license number 2022021022) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003546789.

Contact Information

Stacie Leah Pruett, FNP
24221 S Rockhaven Rd,
Peculiar, MO 64078-9679
(816) 308-5877
Not Available

Map and Direction




Provider's Profile

Full NameStacie Leah Pruett
GenderFemale
SpecialityNurse Practitioner - Family
Location24221 S Rockhaven Rd, Peculiar, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003546789
  • Provider Enumeration Date: 06/15/2022
  • Last Update Date: 06/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688046154
  • Enrollment ID: I20230209000954

Medical Identifiers

Medical identifiers for Stacie Leah Pruett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003546789NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2022021022 (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. Stacie Leah Pruett allows following entities to bill medicare on her behalf.
Entity NameGeriatric Primary Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073082350
PECOS PAC ID: 2466796024
Enrollment ID: O20181207002149
Entity NameSignify Health Medical Associates Of Kansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780261701
PECOS PAC ID: 8628487998
Enrollment ID: O20210518000551

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. Stacie Leah Pruett 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
Stacie Leah Pruett, FNP
24221 S Rockhaven Rd,
Peculiar, MO 64078-9679

Ph: (816) 308-5877		Stacie Leah Pruett, FNP
24221 S Rockhaven Rd,
Peculiar, MO 64078-9679

Ph: (816) 308-5877

Reviews and Comments


Nurse Practitioner Nurses in Peculiar, MO

Ms. Linda Grace Frey, MSN, FNP-BC, RNFA
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18100 E 215th St, Peculiar, MO 64078
Phone: 816-304-7107    Fax: 816-380-6529
Lauren Carver, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 23600 S Scottsdale Dr, Peculiar, MO 64078
Phone: 816-797-4276    

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.