Mr. Ilya O Stagner, FNP-C
Mr. Ilya O Stagner, FNP-C is a Nurse Practitioner in Maryville, Missouri. Qualified in 2017, 9 years ago. Practices with SSM Regional Health Services, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.
- Years since qualifying
- 9
- Licensed in
- KS, MO
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- FNP-C — Family Nurse Practitioner, Certified
- A family nurse practitioner certified by the AANP.
Practice location Address checks out
114 E South Hills DrMaryville, MO 64468-2659
Phone: (660) 562-4304
Fax: (660) 562-4308
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 300 Utah St, Hiawatha, KS 66434-2314 — (785) 742-6422
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 2024009165 (MO) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 80603 (KS) |
Record details
| NPI number | 1083376750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP-C |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2021 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Ssm Regional Health Services — 166 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Maryville
-
Becky Baker
2016 S Main St, Maryville, MO 64468-2655 · (660) 562-2600
-
Kyle B Thomas
2016 S Main St, Maryville, MO 64468-2655 · (660) 562-7999