STACEY V PEPPER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104114818

STACEY V PEPPER (CRNA) is a healthcare provider. based in Athens, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1-108573 (AL). The NPI Number for STACEY V PEPPER (CRNA) is 1104114818

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
STACEY V PEPPER (CRNA)
NPI
1104114818
Phone
(256) 232-7341
Address
425 CLOVERLEAF DR
Enumeration Date
14 July 2011
Last Update Date
14 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562339292
Graduation Year
2011 (15 years ago)
PAC ID
2062681711
Group Practice PAC ID
3870641863
Professional Enrollment ID
I20110815000133
Address ID
AL356112457AT700XXSTXX400
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

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for STACEY V PEPPER (CRNA)

  • 425 CLOVERLEAF DR

    ATHENS, AL 356114423

    Phone: (256) 232-7341

    Type: Mailing

  • 1201 7TH ST SE

    DECATUR, AL 356013337

    Phone: (256) 341-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-08-15

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
I20110815000133ICertified Registered Nurse Anesthetist (Crna)ALTBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1414$0
View full utilization report →

Insurance plans in this area (ZIP 35611)

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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: 3870641863View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

Does STACEY V PEPPER (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — STACEY V PEPPER (CRNA) uses 1104114818.
Is STACEY V PEPPER (CRNA) still practicing?
STACEY V PEPPER (CRNA) is currently listed as active in the public NPI registry.
What is STACEY V PEPPER (CRNA)'s specialty?
The listing groups STACEY V PEPPER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect STACEY V PEPPER (CRNA) on a map?
Expect Athens, Alabama as a primary anchor for STACEY V PEPPER (CRNA) unless the record lists multiple sites.
Why does STACEY V PEPPER (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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