Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Stucky

Individual provider Family Medicine Physician · NPI 1144843871

Blake Stucky is a Family Practice in Wichita, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2020, 6 years ago. Practices with Commonspirit Kansas Inc, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
6
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1010 N Kansas St Ste 3023
Wichita, KS 67214-3124
Phone: (316) 293-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 911 N Main St, Garden City, KS 67846-5561 — (620) 276-8201

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-48234 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence 94-10251 (KS)

Record details

NPI number1144843871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2020
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2020 (6 years in practice)
Group practice Commonspirit Kansas Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wichita