MRS. STACY EDDLEMAN STUART (CRNP) – Nurse Practitioner, NPI 1073120960

MRS. STACY EDDLEMAN STUART (CRNP) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-152622 (AL). The NPI Number for MRS. STACY EDDLEMAN STUART (CRNP) is 1073120960

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACY EDDLEMAN STUART (CRNP)
NPI
1073120960
Phone
(334) 239-2622
Address
233 WINTON BLOUNT LOOP
Enumeration Date
25 September 2020
Last Update Date
25 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2564316469
Graduation Year
2023 (3 years ago)
PAC ID
4880005578
Group Practice PAC ID
1557750478
Professional Enrollment ID
I20201202000647
Address ID
AL356137522AT15884RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. STACY EDDLEMAN STUART (CRNP)

  • 233 WINTON BLOUNT LOOP

    MONTGOMERY, AL 361173507

    Phone: (334) 239-2622

    Fax: (334) 625-7602

    Type: Mailing

  • 333 BUSINESS CIR

    PELHAM, AL 351241778

    Phone: (205) 255-3828

    Fax: (334) 625-7602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $805.

Total Amount is formed as General ($805) + Research ($0) + Ownership ($0) = $805.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($262).

Total Amount

$805

General + Research + Ownership

Payments

35

Total payment records

General Amount

$805

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

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: 2020-12-02

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
I20201202000647INurse 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
90833Psychotherapy with evaluation and management visit, 30 minutes10728$0
99213Established patient office or other outpatient visit, 20-29 minutes5522$0
99214Established patient office or other outpatient visit, 30-39 minutes5321$0
View full utilization report →

Insurance plans in this area (ZIP 36117)

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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: 1557750478View full group profile
NameSpecialtyState
Nurse PractitionerAL
Clinical Social WorkerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Can I cross-check MRS. STACY EDDLEMAN STUART (CRNP) using NPI 1073120960?
NPI 1073120960 belongs to MRS. STACY EDDLEMAN STUART (CRNP); compare other details if you need extra assurance.
Would MRS. STACY EDDLEMAN STUART (CRNP) appear as active to a payer?
You can treat MRS. STACY EDDLEMAN STUART (CRNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. STACY EDDLEMAN STUART (CRNP)?
MRS. STACY EDDLEMAN STUART (CRNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. STACY EDDLEMAN STUART (CRNP) associated with Montgomery?
Public fields place MRS. STACY EDDLEMAN STUART (CRNP) around Montgomery, Alabama. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. STACY EDDLEMAN STUART (CRNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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