STACY ABBOTT (FNP-C) – Primary Care Nurse Practitioner, NPI 1942891486
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for STACY ABBOTT (FNP-C)
4025 LUPINE DR
KENAI, AK 996118460
Phone: (719) 239-1673
Type: Mailing
291 N FIREWEED ST
SOLDOTNA, AK 996697540
Phone: (907) 262-6545
Type: Location
PO BOX 1653
SALIDA, CO 812011652
Phone: (719) 239-1673
Type: Mailing
1000 RUSH DR
SALIDA, CO 812019627
Phone: (719) 530-2000
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 $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2023-10-09 • Largest payer in this snapshot: Organogenesis Inc. ($51).
Total Amount
$69
General + Research + Ownership
Payments
3
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $51 |
| Boston Scientific Corporation | $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: 2021-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210330001436 | I | Nurse Practitioner | CO | TBD |
| I20211111000833 | I | Nurse Practitioner | AK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99611)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Qualified Audiologist | CO | |
| General Surgery | CO | |
| - | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| Orthopedic Surgery | CO | |
| Internal Medicine | CO | |
| Family Practice | CO | |
| - | CO |
Reviews
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