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STACY L JANSEN M.D.
NPI 1104821883
Family Medicine in Anderson, MO

Active since June 17, 2005
510 PARK ST, ANDERSON, MO 64831(417) 845-0545(417) 845-0548 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy L Jansen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY L JANSEN M.D. (NPI 1104821883) is an individual family medicine provider in Anderson, Missouri, licensed in Missouri (2000156458) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104821883
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACY L JANSENCredential: M.D.
Location Address510 PARK STAnderson, MO 64831-9280
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 845-0545 · Fax (417) 845-0548
Phone(417) 845-0545
Fax(417) 845-0548
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateOctober 18, 2007
✔ NPI 1104821883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2000156458
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
510 PARK ST, Anderson, MO 64831
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Other Identifiers 3

Medicare UPING74042MO
Other129295MO · Anthem
OtherP00279800Rr Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREEMAN NEOSHO HOSPITAL
Clinic/Center (Rural Health)
510 PARK ST
ANDERSON, MO 64831
McDonald County (417) 845-0545
SHELBY ALAYNE SPANGLER
Nurse Practitioner
510 PARK ST
ANDERSON, MO 64831
McDonald County (417) 845-0545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Jansen's NPI number?

The NPI number for Stacy Jansen is 1104821883. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Stacy Jansen located?

Stacy Jansen practices at 510 Park St, Anderson, MO 64831. The listed phone number is (417) 845-0545.

What is Stacy Jansen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stacy Jansen was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.