STACY ELDRIDGE (FNP) – Family Nurse Practitioner, NPI 1265705743
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for STACY ELDRIDGE (FNP)
PO BOX 5545
LAFAYETTE, IN 479035545
Phone: (765) 448-8000
Type: Mailing
810 S 6TH ST
MONTICELLO, IN 479608201
Phone: (574) 583-6543
Fax: (574) 583-9502
Type: Location
1134 N MAIN ST
BELLEFONTAINE, OH 433112379
Phone: (937) 651-6820
Type: Location
205 E PALMER RD
BELLEFONTAINE, OH 433112281
Phone: (937) 592-4015
Type: Mailing
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
2450 TAMIAMI TRL STE A
PORT CHARLOTTE, FL 339523922
Phone: (941) 624-2704
Fax: (941) 627-6066
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: 2023-11-17
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 |
|---|---|---|---|---|
| I20210729002732 | I | Nurse Practitioner | FL | TBD |
| I20231117001311 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 697 | 663 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 240 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 196 | 98 | $0 |
| 81003 | Automated urinalysis test | 185 | 182 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 182 | 180 | $0 |
Insurance plans in this area (ZIP 47903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Orthopedic Surgery | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| - | OH | |
| A N E S T H E S I O L O G Y | OH | |
| Plastic And Reconstructive Surgery | OH | |
| Nurse Practitioner | OH | |
| General Surgery | OH | |
| - | OH | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | OH |
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