STACEY S VARDEN (CRNP) – Family Nurse Practitioner, NPI 1053679837

STACEY S VARDEN (CRNP) is a healthcare provider. based in Cullman, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-113144 (AL). The NPI Number for STACEY S VARDEN (CRNP) is 1053679837

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
STACEY S VARDEN (CRNP)
NPI
1053679837
Phone
(256) 737-8000
Address
1890 AL HIGHWAY 157 STE 300
Enumeration Date
30 April 2012
Last Update Date
11 May 2012

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2567372100
Graduation Year
2011 (15 years ago)
PAC ID
6507012358
Group Practice PAC ID
2365354339
Professional Enrollment ID
I20120809000484
Address ID
AL350580689CU1890X157X400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for STACEY S VARDEN (CRNP)

  • 1890 AL HIGHWAY 157 STE 300

    CULLMAN, AL 350580689

    Phone: (256) 737-8000

    Fax: (256) 737-8058

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,361.

Total Amount is formed as General ($1,361) + Research ($0) + Ownership ($0) = $1,361.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($180).

Total Amount

$1,361

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2012-08-09

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
I20120809000484INurse 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
J1100Injection, dexamethasone sodium phosphate, 1 mg42452$0
99213Established patient office or other outpatient visit, 20-29 minutes240156$0
96372Injection of drug or substance under skin or into muscle9668$0
87804Detection test by immunoassay with direct visual observation for influenza virus8039$0
J1885Injection, ketorolac tromethamine, per 15 mg6817$0
View full utilization report →

Insurance plans in this area (ZIP 35058)

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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: 2365354339View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalAL
Internal MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
-AL
Mental Health CounselorAL
Family PracticeAL
Internal MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is STACEY S VARDEN (CRNP) listed with a National Provider Identifier?
Yes — STACEY S VARDEN (CRNP) has NPI 1053679837 on file in the registry.
Is there an active status for STACEY S VARDEN (CRNP)?
For scheduling context, STACEY S VARDEN (CRNP) is shown as active in the registry.
What clinical focus is listed for STACEY S VARDEN (CRNP)?
At a glance, STACEY S VARDEN (CRNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is STACEY S VARDEN (CRNP) associated with Cullman?
Public fields place STACEY S VARDEN (CRNP) around Cullman, Alabama. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for STACEY S VARDEN (CRNP) is noted as April 30, 2012 where the registry provides it.

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