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

Stacie Leah Pruett, FNP

Individual provider Family Nurse Practitioner · NPI 1003546789

Stacie Leah Pruett, FNP is a Nurse Practitioner in Peculiar, Missouri. Qualified in 2021, 5 years ago. Practices with Geriatric Primary Care PA, a 16-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
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

24221 S Rockhaven Rd
Peculiar, MO 64078-9679
Phone: (816) 308-5877
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 2022021022 (MO)

Record details

NPI number1003546789
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Geriatric Primary Care Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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