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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: August 16, 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
Phone(417) 724-5437
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
Open in Google Maps ↗

Other Identifiers 5

Medicaid168192003AR
Medicare UPINH85008MO
Medicare PIN902723268MO
Medicare PIN152013230MO
Medicaid208341206MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

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.

ST. JOHN'S CLINIC, INC.
Clinic/Center (Rural Health)
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5437
DR. SCOTT R. MOOSE MD
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5200
DR. THOMAS E JONES OD
Optometrist
940 W MOUNT VERNON ST, SUITE 120
NIXA, MO 65714
Christian County (417) 724-5335
DR. GUY F. MILLER DO
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5200
ELICIA SUTTON FNP
Nurse Practitioner (Family)
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5280
ST JOHN'S REGIONAL HEALTH CENTER
Pharmacist
940 W MOUNT VERNON ST, SUITE 130
NIXA, MO 65714
Christian County (417) 724-5350
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Eyewear Supplier
940 W MOUNT VERNON ST, SUITE 120
NIXA, MO 65714
Christian County (417) 724-5335
REBECCA TARATUTA
Nurse Practitioner (Family)
940 W MOUNT VERNON ST, STE 100
NIXA, MO 65714
Christian County (417) 724-5300

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 Stacy Kanagawa's NPI number?

The NPI number for Stacy Kanagawa is 1861438475. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Stacy Kanagawa located?

Stacy Kanagawa practices at 940 W Mount Vernon St Suite 220, Nixa, MO 65714. The listed phone number is (417) 724-5437.

What is Stacy Kanagawa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacy Kanagawa enrolled in Medicare?

Yes. Stacy Kanagawa is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Kanagawa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Stacy Kanagawa 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 Stacy Kanagawa was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.