STACEY L MCDONALD (CRNP) – Nurse Practitioner, NPI 1053667840

STACEY L MCDONALD (CRNP) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-108166 (AL). The NPI Number for STACEY L MCDONALD (CRNP) is 1053667840

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STACEY L MCDONALD (CRNP)
NPI
1053667840
Phone
Not provided
Address
PO BOX 10583
Enumeration Date
30 July 2012
Last Update Date
10 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2519282375
Graduation Year
2012 (14 years ago)
PAC ID
7214186717
Group Practice PAC ID
4688627946
Professional Enrollment ID
I20120926000798
Address ID
AL365321812FA750XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for STACEY L MCDONALD (CRNP)

  • PO BOX 10583

    BIRMINGHAM, AL 352020583

    Phone:

    Type: Mailing

  • 5 MOBILE INFIRMARY CIR

    MOBILE, AL 366073513

    Phone: (251) 435-2646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $528.

Total Amount is formed as General ($528) + Research ($0) + Ownership ($0) = $528.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Novo Nordisk Inc ($243).

Total Amount

$528

General + Research + Ownership

Payments

16

Total payment records

General Amount

$528

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120926000798INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2019$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 35202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688627946View full group profile
NameSpecialtyState
Emergency MedicineAL
Nurse PractitionerAL
Physician AssistantFL
Emergency MedicineSC
Emergency MedicineAL
Emergency MedicineAL
Emergency MedicineMS
Emergency MedicineMS
Emergency MedicineAL
Emergency MedicineAL

Reviews

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Frequently asked questions

What is STACEY L MCDONALD (CRNP)'s NPI number?
STACEY L MCDONALD (CRNP)'s NPI is 1053667840 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to STACEY L MCDONALD (CRNP)?
You should see STACEY L MCDONALD (CRNP) as active in CMS-hosted NPPES data.
How would a patient describe STACEY L MCDONALD (CRNP)'s focus?
For STACEY L MCDONALD (CRNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Alabama is STACEY L MCDONALD (CRNP) registered?
Use Birmingham, Alabama as the headline location for STACEY L MCDONALD (CRNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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