STACEY M. LOEN – Nurse Practitioner, NPI 1285879445

STACEY M. LOEN is a healthcare provider. based in Iowa city, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. RN1014353 (DC). The NPI Number for STACEY M. LOEN is 1285879445

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
STACEY M. LOEN
NPI
1285879445
Phone
(319) 353-8435
Address
200 HAWKINS DR
Enumeration Date
2 December 2008
Last Update Date
29 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6053322883
Graduation Year
2008 (18 years ago)
PAC ID
5395800221
Group Practice PAC ID
8325950215
Professional Enrollment ID
I20130830000642
Address ID
SD571034187SI4405XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:17State licenses:3Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

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Provider Addresses for STACEY M. LOEN

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421007

    Phone: (319) 353-8435

    Fax: (319) 467-5141

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,115.

Total Amount is formed as General ($1,115) + Research ($0) + Ownership ($0) = $1,115.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Conetic Solutions, Inc. ($836).

Total Amount

$1,115

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130830000642INurse PractitionerSDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52242)

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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: 8325950215View full group profile
NameSpecialtyState
Nurse PractitionerSD
P S Y C H I A T R YSD
General SurgerySD
General SurgerySD
P S Y C H I A T R YNE
P S Y C H I A T R YSD
-SD
Qualified AudiologistSD
Hand Surgery, Orthopedic SurgerySD
Nurse PractitionerSD

Reviews

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Frequently asked questions

What is the standard ID for STACEY M. LOEN in the U.S.?
In the U.S., STACEY M. LOEN is identified by NPI 1285879445.
Does the public listing show STACEY M. LOEN as active?
STACEY M. LOEN's NPI record reflects an active status in NPPES.
How should patients interpret STACEY M. LOEN's specialty?
The extract shows Nurse Practitioner for STACEY M. LOEN. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STACEY M. LOEN?
STACEY M. LOEN is associated with Iowa City, Iowa in the same public data insurers reference.
Can I export STACEY M. LOEN's record?
You can download the official NPPES record; we summarize key fields for readability.

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