DR. STEPHANIE ANGELLA FIDLER PSY. D.
NPI 1578619359
Psychologist - Clinical in Independence, MO
About Dr. Stephanie Angella Fidler Psy. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE ANGELLA FIDLER PSY. D. (NPI 1578619359) is an individual clinical provider in Independence, Missouri, licensed in Missouri (2004000217) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Stephanie Angella Fidler Psy. D. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Stephanie Fidler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 7 clinicians in this Medicare group
Independence, MO 64057
- Reassigned Medicare billing, Missouri enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
INDEPENDENCE, MO 64057
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 Stephanie Fidler's NPI number?
The NPI number for Stephanie Fidler is 1578619359. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Stephanie Fidler located?
Stephanie Fidler practices at 3031 M 291 Frontage Rd, Independence, MO 64057. The listed phone number is (816) 373-9240.
What is Stephanie Fidler's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Stephanie Fidler enrolled in Medicare?
Yes. Stephanie Fidler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stephanie Fidler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Fidler reassigns Medicare benefits to 2 organizations: Brian A Fidler (Independence, MO) and Diakonos Inc (Independence, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Fidler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Fidler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Stephanie Angella Fidler, PSY. D. · NPI 1578619359
Clinical provider in Independence, Missouri. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1578619359 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 2004000217 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3031 M 291 FRONTAGE RD, Independence, MO 64057-2334
- **Phone:** (816) 373-9240 · **Fax:** (816) 373-9243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brian A Fidler (NPI 1346682994, Independence, MO); Diakonos Inc (NPI 1164458931, Independence, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1578619359) · Data from the CMS NPPES public registry.