STACEY A PETERSON APRN
NPI 1922820604
Nurse Practitioner - Family in Westwood, KS

Q: What is Stacey Peterson's NPI number?

The NPI number for Stacey Peterson is 1922820604. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Q: What is Stacey Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Peterson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 24, 2024PECOS Enrolled

2650 SHAWNEE MISSION PKWY, WESTWOOD, KS 66205(913) 588-1227 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, May 26, 2026 (2 updates tracked since 2026).

On this page

About Stacey A Peterson Aprn NPPES

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

STACEY A PETERSON APRN (NPI 1922820604) is an individual family provider in Westwood, Kansas, licensed in Kansas (53-85445) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922820604

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY A PETERSONCredential: APRN

Location Address2650 SHAWNEE MISSION PKWYWestwood, KS 66205-2003

Mailing Address2330 Shawnee Mission PkwyWestwood, KS 66205-2005

Phone(913) 588-1227

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 24, 2024

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1922820604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KS · 53-85445

Also ListedRegistered NurseTaxonomy 163W00000X · License 14-120386 (KS)

2650 SHAWNEE MISSION PKWY, Westwood, KS 66205

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Peterson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729559190

PECOS Enrollment IDI20260605002945

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 66205 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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 20

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

DR. DANIEL HUNTER CLAUSING M.D.

Internal Medicine (Hematology & Oncology)