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ANDREA STAFOS ANP-BC
NPI 1700154374
Nurse Practitioner in Overland Park, KS

Active since December 09, 2011
11791 W 112TH ST, SUITE 100, OVERLAND PARK, KS 66210(913) 888-3338(913) 696-1908 Get Directions Write a Review

NPPES record last updated: May 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Stafos Anp-bc NPPES

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

ANDREA STAFOS ANP-BC (NPI 1700154374) is an individual nurse practitioner in Overland Park, Kansas, licensed in Kansas (75590) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1700154374
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA STAFOSCredential: ANP-BC
Location Address11791 W 112TH ST, SUITE 100Overland Park, KS 66210-2737
Mailing Address11791 W 112th St, Suite 100Overland Park, KS 66210-2737 · (913) 888-3338 · Fax (913) 696-1908
Phone(913) 888-3338
Fax(913) 696-1908
Sole ProprietorNo
Enumeration DateDecember 9, 2011
Last NPPES UpdateMay 10, 2013
✔ NPI 1700154374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KS · 75590✔ Licensed in MO · 2012036926
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11791 W 112TH ST, Overland Park, KS 66210
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Other Identifiers 4

Medicare PIN402000011MO
Other068002152KS · Medicare Ptan
OtherP01157148MO · Railroad Medicare
Medicaid200850160AKS

Other Providers at the Same Location NPPES 11

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

OVERLAND CHIROPRACTIC HEALTH SERVICES PA
Chiropractor
11791 W 112TH ST, SUITE 101
OVERLAND PARK, KS 66210
Johnson County (913) 345-9247
DR. DEBORAH NN BIGOGNO D.C.
Chiropractor
11791 W 112TH ST, STE 103
OVERLAND PARK, KS 66210
Johnson County (913) 345-9111
CHERYL RENEE GATES CPM
Midwife
11791 W 112TH ST, SUITE 102
OVERLAND PARK, KS 66210
Johnson County (913) 722-1721
DR. STEPHEN C GRADWOHL D.C.
Chiropractor (Orthopedic)
11791 W 112TH ST, SUITE 100
OVERLAND PARK, KS 66210
Johnson County (913) 888-3338
SYDNEY GEORGE LMSW
Counselor (Addiction (Substance Use Disorder))
11791 W 112TH ST, SUITE 102
OVERLAND PARK, KS 66210
Johnson County (913) 636-2454
ANNA DIEC
Naturopath
11791 W 112TH ST
OVERLAND PARK, KS 66210
Johnson County (913) 214-6536
CHIROPRACTIC TREATMENT CENTER, PA
Chiropractor (Orthopedic)
11791 W 112TH ST, SUITE 100
OVERLAND PARK, KS 66210
Johnson County (913) 888-3338
S&S INTERNAL MEDICINE
Internal Medicine
11791 W 112TH ST, SUITE 100
OVERLAND PARK, KS 66210
Johnson County (913) 888-3338

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 Andrea Stafos's NPI number?

The NPI number for Andrea Stafos is 1700154374. It was assigned to this individual provider in the NPPES registry on December 9, 2011.

Where is Andrea Stafos located?

Andrea Stafos practices at 11791 W 112th St Suite 100, Overland Park, KS 66210. The listed phone number is (913) 888-3338.

What is Andrea Stafos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Andrea Stafos was last updated on May 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.