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

Skylar P Stacy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588289425

Skylar P Stacy, MD is a Family Practice in Independence, Kansas. Qualified in 2020, 6 years ago. Practices with Labette County Medical Center, a 75-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

510 Peter Pan Rd
Independence, KS 67301-7301
Phone: (620) 332-2000
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-47487 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588289425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address510 Peter Pan Rd, Independence, KS 67301-7301

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Labette County Medical Center — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Independence