STACY D MENEES (FNP) – Family Nurse Practitioner, NPI 1386815959
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STACY D MENEES (FNP)
900 Logan College Road
Carterville, IL 62918
Phone: (618) 956-9202
Fax: (618) 956-9202
Type: Location
PO BOX 955860
SAINT LOUIS, MO 631953988
Phone: (636) 498-5944
Fax: (618) 529-0586
Type: Mailing
432, North Pleasant Avenue, Centralia, Marion County, Illinois, 62801, United States
CENTRALIA, IL 628013006
Phone: (618) 436-8300
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: 2008-07-30
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 |
|---|---|---|---|---|
| I20080730000075 | I | Nurse Practitioner | IL | 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 62918)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | CA | |
| Vascular Surgery | IL | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| General Surgery, Emergency Medicine | IL | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Pulmonary Disease, Geriatric Medicine, Internal Medicine | MO |
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