STEPHANIE KING FNP-BC NPI 1053860320

NPI Information

  • NPI: 1053860320
  • Provider Name: STEPHANIE KING, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3732 NAMEOKI RD
    GRANITE CITY, IL
    ZIP 62040
  • Phone: (314) 687-2735

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NPI Details

Stephanie King, FNP-BC is a family nurse practitioner in Granite City, IL with 10 years of experience. Stephanie King, FNP-BC NPI is 1053860320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3732 NAMEOKI RD
GRANITE CITY, IL
ZIP 62040-714
Phone: (314) 687-2735

The NPI 1053860320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/28/2016 and was last updated on 9/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner277000670ILLINOISNo
2363L00000XNurse Practitioner2016023932MISSOURINo
3363LF0000XNurse PractitionerFamily209014478ILLINOISYes
4363L00000XNurse Practitioner209014478ILLINOISNo
5363LF0000XNurse PractitionerFamily2016023932MISSOURINo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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