DR. STACY L. KANAGAWA DO
NPI 1861438475
Pediatrics in Nixa, MO

Active since June 21, 2006PECOS Enrolled
940 W MOUNT VERNON ST, SUITE 220, NIXA, MO 65714(417) 724-5437(417) 724-5433 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stacy L. Kanagawa Do NPPES

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

DR. STACY L. KANAGAWA DO (NPI 1861438475) is an individual pediatrics provider in Nixa, Missouri, licensed in Missouri (2002009355) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861438475
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. STACY L. KANAGAWACredential: DO
Location Address940 W MOUNT VERNON ST, SUITE 220Nixa, MO 65714-9609
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Fax(417) 724-5433
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateMay 13, 2013
NPI 1861438475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MO · 2002009355
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

940 W MOUNT VERNON ST, Nixa, MO 65714

Other Identifiers 5

Medicaid168192003AR
Medicare UPINH85008MO
Medicare PIN902723268MO
Medicare PIN152013230MO
Medicaid208341206MO

Accepted 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)

Dr. Stacy L. Kanagawa Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Optometrist
940 W MOUNT VERNON ST, SUITE 120
NIXA, MO 65714
Internal Medicine
940 W MOUNT VERNON ST, SUITE 210
NIXA, MO 65714
Pharmacist
940 W MOUNT VERNON ST, SUITE 130
NIXA, MO 65714
Clinic/Center (Rural Health)
940 W MOUNT VERNON ST
NIXA, MO 65714
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Nurse Practitioner (Family)
940 W MOUNT VERNON ST
NIXA, MO 65714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861438475, enumerated as an "individual" on June 21, 2006.

The provider is located at 940 W MOUNT VERNON ST SUITE 220 NIXA, MO 65714 and the phone number is (417) 724-5437.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.