STACY KAY BERRY (FNP) – Family Nurse Practitioner, NPI 1720759988

STACY KAY BERRY (FNP) is a healthcare provider. based in Dillon, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. F09211504 (CO). The NPI Number for STACY KAY BERRY (FNP) is 1720759988

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STACY KAY BERRY (FNP)
NPI
1720759988
Phone
(970) 485-6826
Address
PO BOX 4868
Enumeration Date
27 September 2021
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9704856826
Graduation Year
2021 (5 years ago)
PAC ID
5193723997
Group Practice PAC ID
5395115687
Professional Enrollment ID
I20230317000396
Address ID
CO804358504DI956XXTRAI400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for STACY KAY BERRY (FNP)

  • PO BOX 4868

    DILLON, CO 804354868

    Phone: (970) 485-6826

    Fax: (970) 795-8229

    Type: Mailing

  • 956 W ANEMONE TRL

    DILLON, CO 804356351

    Phone: (970) 485-6846

    Fax: (970) 795-8229

    Type: Location

  • 434 RODEO DR

    SILVERTHORNE, CO 804989553

    Phone: (970) 389-3576

    Type: Mailing

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: 2023-03-17

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
I20230317000396INurse PractitionerCOTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2323$0
87804Detection test by immunoassay with direct visual observation for influenza virus2011$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1414$0
View full utilization report →

Insurance plans in this area (ZIP 80435)

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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: 5395115687View full group profile
NameSpecialtyState
Family PracticeCO

Reviews

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Frequently asked questions

What is STACY KAY BERRY (FNP)'s NPI number?
STACY KAY BERRY (FNP)'s NPI is 1720759988 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to STACY KAY BERRY (FNP)?
You should see STACY KAY BERRY (FNP) as active in CMS-hosted NPPES data.
What kind of doctor is STACY KAY BERRY (FNP)?
STACY KAY BERRY (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with STACY KAY BERRY (FNP)?
Directory geography for STACY KAY BERRY (FNP) centers on Dillon, Colorado.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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