LISA R STUCKEY (PA-C) – Medical Physician Assistant, NPI 1255529012
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for LISA R STUCKEY (PA-C)
205 Hall St
Spearville, KS 678768553
Phone: (620) 385-2963
Fax: (620) 385-2811
Type: Location
620 W 8TH ST
KINSLEY, KS 675472329
Phone: (620) 659-3621
Fax: (620) 659-3810
Type: Location
1709, South Rock Road, Wichita, Sedgwick County, Kansas, 67207, United States
WICHITA, KS 672075150
Phone: (316) 682-7411
Fax: (316) 689-6689
Type: Mailing
604 W 8th St
Kinsley, KS 675472329
Phone: (620) 659-2732
Fax: (620) 659-3850
Type: Location
PO BOX 99
KINSLEY, KS 675470099
Phone: (620) 659-3651
Fax: (620) 659-3869
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $61.
Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Mylan Specialty L.P. ($29).
Total Amount
$61
General + Research + Ownership
Payments
4
Total payment records
General Amount
$61
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $29 |
| Edwards Lifesciences Corporation | $18 |
| Amgen Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080619000610 | I | Physician Assistant | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67876)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | KS | |
| Family Practice | SD | |
| - | KS | |
| Nurse Practitioner | AZ | |
| - | KS | |
| Nurse Practitioner | KS |
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