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

Dr. Stephanie Danielle Black, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1386169126

Dr. Stephanie Danielle Black, DNP, FNP-BC is a Nurse Practitioner in Shawnee, Kansas. Graduated from University of Missouri, Columbia School of Medicine in 2017, 9 years ago. Practices with Prime Healthcare Physician Services - Providence Inc, a 53-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
9
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
KS, MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

7230 Renner Rd
Shawnee, KS 66217-9901
Phone: (913) 962-2122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-82462092 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2017021474 (MO)

Record details

NPI number1386169126
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedAugust 12, 2017
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Prime Healthcare Physician Services - Providence Inc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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