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

Stacey Elizabeth Shanks, FNP

Individual provider Family Nurse Practitioner · NPI 1578110847

Stacey Elizabeth Shanks, FNP is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2018, 8 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
8
Licensed in
KS, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4330 Wornall Rd Ste 2000
Kansas City, MO 64111-5939
Phone: (816) 931-1883
Fax: (816) 931-7714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2019010062 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5378919 (KS)

Record details

NPI number1578110847
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 21, 2019
Last updated in NPPESDecember 6, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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