STACEY RENEE WARDEN – Family Nurse Practitioner, NPI 1679194351
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for STACEY RENEE WARDEN
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 352031866
Phone: (205) 644-8256
Type: Mailing
34617 AL HIGHWAY 75
FYFFE, AL 359713488
Phone: (256) 623-5242
Fax: (256) 623-5243
Type: Location
3840 Gault Ave N
Fort Payne, AL 359675211
Phone: (256) 844-4975
Fax: (256) 844-4978
Type: Location
21680 Al Highway 79
Scottsboro, AL 357685904
Phone: (256) 587-3050
Fax: (256) 587-3508
Type: Location
13624 County Road 8
Woodville, AL 357766162
Phone: (256) 776-5615
Fax: (256) 776-5617
Type: Location
70 Freedom Ln
Scottsboro, AL 357693763
Phone: (256) 574-5508
Fax: (256) 259-2727
Type: Location
29810 Al Highway 71
Bryant, AL 359585240
Phone: (256) 597-4114
Fax: (256) 597-4115
Type: Location
60 Main St N
Section, AL 357717168
Phone: (256) 228-3471
Fax: (256) 228-7289
Type: Location
1925 W MAIN ST
CENTRE, AL 359602812
Phone: (256) 677-4552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
| Lilly USA, LLC | $21 |
| Bayer Healthcare Pharmaceuticals Inc. | $18 |
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: 2020-08-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200810000790 | I | Nurse Practitioner | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 136 | 19 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 64 | 31 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 56 | 13 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 37 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 35203)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
Reviews
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