STANLEY PARK FAMILY MEDICINE LLC
NPI 1740341205
Clinic/Center - Primary Care in Overland Park, KS
About Stanley Park Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY PARK FAMILY MEDICINE LLC (NPI 1740341205) is a healthcare organization registered as a primary care in Overland Park, Kansas and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Jeanette Ramirez, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanley Park Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stanley Park Family Medicine LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 17D1003700
Stanley Park Family Medicine · Overland Park, KSFrequently 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 Stanley Park Family Medicine LLC's NPI number?
The NPI number for Stanley Park Family Medicine LLC is 1740341205. It was assigned to this organization in the NPPES registry on December 12, 2006.
Where is Stanley Park Family Medicine LLC located?
Stanley Park Family Medicine LLC is located at 8631 W 150th St Suite 101, Overland Park, KS 66223. The listed phone number is (913) 681-3399.
What is Stanley Park Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Stanley Park Family Medicine LLC enrolled in Medicare?
Yes. Stanley Park Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stanley Park Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stanley Park Family Medicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stanley Park Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 17D1003700) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Stanley Park Family Medicine LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Stanley Park Family Medicine LLC 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.
When was this NPI record last updated?
The NPPES record for Stanley Park Family Medicine LLC was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stanley Park Family Medicine Llc · NPI 1740341205
Primary Care organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1740341205 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jeanette Ramirez, OFFICE MANAGER
## Practice location
- **Address:** 8631 W 150TH ST, SUITE 101, Overland Park, KS 66223-2294
- **Phone:** (913) 681-3399 · **Fax:** (913) 851-0037
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2015
- **Other identifiers:** Medicare PIN M620000 (KS); Medicare UPIN D16921 (KS)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1740341205) · Data from the CMS NPPES public registry.