MR. TIMOTHY C STALLARD PA
NPI 1679536148
Physician Assistant - Surgical in Lenexa, KS

Q: What is Timothy Stallard's NPI number?

The NPI number for Timothy Stallard is 1679536148. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Timothy Stallard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Stallard was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 07, 2006PECOS Enrolled

23401 PRAIRIE STAR PKWY, SUITE 300, LENEXA, KS 66227(913) 677-6319(913) 677-1540 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Timothy C Stallard Pa NPPES

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

MR. TIMOTHY C STALLARD PA (NPI 1679536148) is an individual surgical provider in Lenexa, Kansas, licensed in Kansas (1500547) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1679536148

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. TIMOTHY C STALLARDCredential: PA

Location Address23401 PRAIRIE STAR PKWY, SUITE 300Lenexa, KS 66227-7268

Mailing Address23401 Prairie Star Pkwy Ste B300Lenexa, KS 66227-7268 · (913) 677-6319 · Fax (913) 677-1540

Phone(913) 677-6319

Fax(913) 677-1540

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 7, 2006

Last NPPES UpdateMarch 24, 2025

NPPES CertifiedMarch 24, 2025

✔ NPI 1679536148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in KS · 1500547

23401 PRAIRIE STAR PKWY, Lenexa, KS 66227

Open in Google Maps ↗

Other Identifiers 1

Medicaid30004502040004KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy C Stallard Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739127382

PECOS Enrollment IDI20050422000964

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170104

Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

ANNIE EPP RD

Dietitian, Registered

23401 PRAIRIE STAR PKWY
LENEXA, KS 66227

Johnson County (913) 677-6319

SHARPER VISION, P.A.

Ophthalmology

23401 PRAIRIE STAR PKWY, SUITE 225
LENEXA, KS 66227

Johnson County (913) 787-6724

DR. ROBERT JAMES ARAGON M.D.

Surgery

23401 PRAIRIE STAR PKWY
LENEXA, KS 66227

Johnson County (913) 677-6319

MRS. MELISSA ROTHWELL RD, LD

Dietitian, Registered

23401 PRAIRIE STAR PKWY
LENEXA, KS 66227

Johnson County (913) 356-6417

DR. GERALD B HAMILTON M.D.

Surgery

23401 PRAIRIE STAR PKWY, SUITE 300
LENEXA, KS 66227

Johnson County (913) 677-6319

ELISHA REINERS RD

Dietitian, Registered

23401 PRAIRIE STAR PKWY
LENEXA, KS 66227

Johnson County (913) 374-4174

MRS. NANCY SCHEER M.S., R.D,, L.D.

Dietitian, Registered

23401 PRAIRIE STAR PKWY, SUITE 300
LENEXA, KS 66227

Johnson County (913) 677-6319

BRETT P WHITE

Physician Assistant (Surgical)

23401 PRAIRIE STAR PKWY
LENEXA, KS 66227

Johnson County (913) 677-6319

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 Timothy Stallard's NPI number?

The NPI number for Timothy Stallard is 1679536148. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Timothy Stallard located?

Timothy Stallard practices at 23401 Prairie Star Pkwy Suite 300, Lenexa, KS 66227. The listed phone number is (913) 677-6319.

What is Timothy Stallard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Timothy Stallard enrolled in Medicare?

Yes. Timothy Stallard is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Stallard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Timothy Stallard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Stallard affiliated with any hospitals?

According to CMS data, Timothy Stallard is affiliated with Adventhealth Shawnee Mission.

When was this NPI record last updated?

The NPPES record for Timothy Stallard was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.