STACEY ANDERSON – Family Nurse Practitioner, NPI 1649907528

STACEY ANDERSON is a healthcare provider. based in Maize, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 5380420052 (KS). The NPI Number for STACEY ANDERSON is 1649907528

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
STACEY ANDERSON
NPI
1649907528
Phone
(316) 617-8908
Address
4060 N REED AVE APT 1628
Enumeration Date
2 August 2022
Last Update Date
2 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6203715576
Graduation Year
2021 (5 years ago)
PAC ID
0345625786
Group Practice PAC ID
4789595844
Professional Enrollment ID
I20220921000300
Address ID
KS678017217DO100XXBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,551 NURSE PRACTITIONER in KS

Provider Addresses for STACEY ANDERSON

  • 4060 N REED AVE APT 1628

    MAIZE, KS 671013828

    Phone: (316) 617-8908

    Type: Mailing

  • 1301 KS HIGHWAY 264

    LARNED, KS 675505353

    Phone: (620) 285-2131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-09-21

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
I20220921000300INurse PractitionerKSTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9334$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes7741$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 67101)

Loading plans...

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: 4789595844View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for STACEY ANDERSON in U.S. healthcare records?
The official identifier for STACEY ANDERSON is NPI 1649907528.
Is STACEY ANDERSON shown as active in public data?
Registry records indicate STACEY ANDERSON maintains an active NPI.
What kind of doctor is STACEY ANDERSON?
STACEY ANDERSON is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is STACEY ANDERSON located near Maize?
STACEY ANDERSON currently maps to Maize, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

DELICIA C. BAWL (APRN)

Family Nurse Practitioner
2770 S 9TH ST
NPI: 1013344589

MRS. JENNIFER BROWN (APRN)

Family Nurse Practitioner
117 W ACADEMY AVE
NPI: 1548658842

LAUREN SHELBY EWERTZ (DNP, FNP-C)

Family Nurse Practitioner
3450, North Rock Road, Wichita, Sedgwick County, Kansas, 67226, United States
NPI: 1275098204

NATALIE RENEE LIBORDI (APRN)

Family Nurse Practitioner
10928 W HAMPTON LAKES CT
NPI: 1376138412

APRIL CROTHERS (APRN)

Family Nurse Practitioner
112 S KHEDIVE ST
NPI: 1073345914